MRS. JOANNA RENA PHILLIPS (NPI# 1124678941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124678941 |
Entity Type | Individual |
Full Name | MRS. JOANNA RENA PHILLIPS |
Credential | CPRSS |
Practice Address |
3144 Sw 17th St Oklahoma City OK 73108-4245 |
Practice Telephone | 4059226676 |
Mailing Telephone | 4059226676 |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 52145 | OK | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225347255 | Joanna Marie Phillips | Registered Nurse | 215 N Marion St, Cardington, OH 43315-1016 | 2010-09-24 |
1770128126 | Joanna Mcknight Phillips | Specialist/Technologist | 8815 Columbia 100 Pkwy, Columbia, MD 21045-2361 | 2019-11-08 |
1205002235 | Joanna J. Phillips | Pathology | 505 Parnassus Ave, M551, Box #0102, San Francisco, CA 94143-2204 | 2008-04-30 |
Street Address |
3144 SW 17TH ST |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73108-4245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316477714 | Dionna Danielle Weixel | Counselor | 4341 Will Rogers Parkway, Oklahoma City, OK 73108 | 2017-06-18 |
1497205389 | Amber Croom | Case Manager/Care Coordinator | 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 | 2016-10-04 |
1063837524 | Bobby King | Counselor | 401 46th St., Oklahoma City, OK 73108 | 2014-02-20 |
1104167816 | Chad Jeffrey Perry | Physical Therapy Assistant | 238 Quadrum Drive, Oklahoma City, OK 73108 | 2013-03-05 |
1295071918 | Avalon Corrections | Case Management | 400 S. May, Oklahoma City, OK 73108 | 2012-12-28 |
1164608790 | American Current Care P.a. | Clinic/Center | 200 Quadrum Drive, Oklahoma City, OK 73108 | 2008-01-14 |
1790960672 | Fresh Start Counseling Services Inc | Community/Behavioral Health | 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 | 2008-01-09 |
1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
1902027287 | Joel William Corn | Family Medicine | 1506 S Agnew, Okha City, OK 73108 | 2007-05-02 |
1851493944 | Good Shepherd Hospice Inc | Hospice Care, Community Based | 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 | 2006-09-01 |
Find all providers in zip 73108 |
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 |
---|---|---|---|---|
1861002818 | Keegan Eisenhardt | Peer Specialist | 6405 S Villa Ave, Oklahoma City, OK 73159-2741 | 2020-08-05 |
1689283780 | Gregory Purvis Jr. | Peer Specialist | 1305 Parkwoods Ct, Oklahoma City, OK 73110-7425 | 2020-07-24 |
1609485762 | Amanda Elaine Cruz | Peer Specialist | 1605 Nw 30th St Apt 228, Oklahoma City, OK 73118-3622 | 2020-07-24 |
1063021384 | Christina Len Petty | Peer Specialist | 2144 Nw 29th St, Oklahoma City, OK 73107-2526 | 2020-07-23 |
1104443977 | Jennifer Lynn Cobb | Peer Specialist | 2400 General Pershing Blvd Apt 308, Oklahoma City, OK 73107-6429 | 2020-06-28 |
1801412135 | Cleborn Gossett | Peer Specialist | 721 Waterview Rd, Oklahoma City, OK 73170-1637 | 2020-06-23 |
1487270617 | Foxy S Starnes | Peer Specialist | 9008 N Shannon Ave, Oklahoma City, OK 73132-1142 | 2020-06-23 |
1154945582 | Alexandra Paige Mcgowan-rayburn | Peer Specialist | 4129 Nw 21st St, Oklahoma City, OK 73107-2607 | 2020-06-01 |
1962034504 | Crystal Rose Mckee | Peer Specialist | 3417 S Independence Ave, Oklahoma City, OK 73119-2617 | 2020-02-11 |
1508496662 | Brie Jordan Florence | Peer Specialist | 2640 Sw 95th St, Oklahoma City, OK 73159-6720 | 2020-01-16 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73108 |
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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.