COETA SIMMONS (NPI# 1124572136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124572136 |
| Entity Type | Individual |
| Full Name | COETA SIMMONS |
| Practice Address |
3015 E Skelly Dr Suite 103 Tulsa OK 74105-6317 |
| Practice Telephone | 9187120859 |
| Practice Fax Number | 9183886456 |
| Mailing Telephone | 9187120859 |
| Mailing Fax Number | 9183886456 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200323940 | 05 |
| Street Address |
3015 E SKELLY DR SUITE 103 |
| City | TULSA |
| State | OK |
| Zip Code | 74105-6317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821022 | Manju Kaul | Psychologist | 3015 E Skelly Dr, Suite 135, Tulsa, OK 74105-6317 | 2005-09-19 |
| 1285294421 | Mary Thomas | Counselor | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2019-06-19 |
| 1427614213 | Brittney Zickefoose | Social Worker | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2019-05-16 |
| 1215452305 | Lorena Isamar Herrera | Case Manager/Care Coordinator | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2017-08-09 |
| 1295269652 | Bre Campbell | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-04-12 |
| 1588197719 | Brittanie Harmon | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-04-05 |
| 1326570029 | Ignacio Saldana | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-31 |
| 1790226959 | Kandice Lawson | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-20 |
| 1942741772 | Carrie Roberts | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-13 |
| 1063950624 | Breakthrough Family Counseling Services | Community/Behavioral Health | 3015 E Skelly Dr, 211-7, Tulsa, OK 74105-6317 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1275131823 | Deena June Patrick | Peer Specialist | 2536 N Boston Ave, Tulsa, OK 74106-3609 | 2020-10-15 |
| 1760098248 | Eddie L Rodriguez | Peer Specialist | 3821 S Rolling Oaks Dr, Tulsa, OK 74107-4872 | 2020-09-20 |
| 1316553100 | Amber Ponder | Peer Specialist | 7802 W 7th St, Tulsa, OK 74127-5524 | 2020-09-17 |
| 1699380089 | Sunny Shirene Cooper | Peer Specialist | 9933 E 61st St, Tulsa, OK 74133-1504 | 2020-09-11 |
| 1669099875 | Denise Lyn Ely | Peer Specialist | 12 E 12th St, Tulsa, OK 74119-2803 | 2020-07-03 |
| 1831715945 | Kyndell Leigh Mcelwee | Peer Specialist | 5043 S 76th East Ave Apt B, Tulsa, OK 74145-6219 | 2020-06-24 |
| 1548886088 | Dana Kai Stevens | Peer Specialist | 2027 E 12th Pl, Tulsa, OK 74104-4201 | 2020-06-21 |
| 1932723251 | Andrew Jacob Sargent | Peer Specialist | 321 S Frankfort Ave, Tulsa, OK 74120-2428 | 2020-06-02 |
| 1114549656 | Jonathan Michael Holbrook | Peer Specialist | 6963 E 15th Pl Apt 239, Tulsa, OK 74112-7410 | 2020-05-06 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.