MRS. JOANNA RENA PHILLIPS


Address: 3144 Sw 17th St, Oklahoma City, OK 73108-4245
Phone: 4059226676

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 52145 OK Other Service Providers

Other Providers JOANNA PHILLIPS

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

Office Location

Street Address 3144 SW 17TH ST
City OKLAHOMA CITY
State OK
Zip Code 73108-4245

Providers in the same zip code

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 Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City OKLAHOMA CITY
Zip Code 73108

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Dataset Information

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.

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