GREATER DIMENSIONS HEALTH AGENCY (NPI# 1144388547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144388547 |
Entity Type | Organization |
Organization Name | GREATER DIMENSIONS HEALTH AGENCY |
Practice Address |
7812 Dripping Springs Ln Oklahoma City OK 73150-8326 |
Practice Telephone | 4053867964 |
Mailing Telephone | 4053867964 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. LATRINA DION BENJAMIN-FRAZIER (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 4053867964 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WA2000X |
Registered Nurse Specialization: Administrator |
Nursing Service Providers | ||
X | 163WC0400X |
Registered Nurse Specialization: Case Management |
Nursing Service Providers | ||
X | 163WC1500X |
Registered Nurse Specialization: Community Health |
Nursing Service Providers | ||
X | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
X | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
X | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
X | 376J00000X | Homemaker | Nursing Service Related Providers | ||
X | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
Street Address |
7812 DRIPPING SPRINGS LN |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73150-8326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
1942281027 | Larry Todd Olsen | Orthopaedic Surgery | 3400 S Douglas Blvd, 302, Oklahoma City, OK 73150 | 2005-11-07 |
1437141793 | Paul L Preslar | Family Medicine | 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150 | 2005-08-22 |
1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
1235129099 | Richard D Hanes | Physician Assistant | 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 | 2005-10-24 |
1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
1811442197 | Ssm Health Care of Oklahoma, Inc | Pharmacy | 3400 S Douglas Blvd, Suite 100, Oklahoma City, OK 73150-1001 | 2016-08-17 |
Find all providers in zip 73150 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538396478 | Tela Marie Brown | Registered Nurse | 4401 S. Western Avenue, Oklahoma City, OK 74962 | 2009-06-18 |
1235154022 | Unity Homecare, LLC | Registered Nurse | 2610 Nw Expressway Ste A, Oklahoma City, OK 73112 | 2006-07-13 |
1386188704 | Lisa Gagne | Registered Nurse | 3001 S Douglas Blvd, Building 1094, Oklahoma City, OK 73150-1003 | 2016-12-05 |
1518124262 | Robyn Rachelle Sunday-allen | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750911863 | Lori Marie White | Registered Nurse | 101 B. Main Street, Canton, OK 73724 | 2020-01-17 |
1932578648 | Jeana Underwood | Registered Nurse | 1511 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2015-09-23 |
1255728564 | Melissa Wilson | Registered Nurse | 19437 N 4230 Rd, Antlers, OK 74523-0753 | 2015-04-24 |
1578900791 | Diane Reagle | Registered Nurse | 604 E Glendale St, Broken Arrow, OK 74011-3597 | 2013-05-29 |
1861403271 | Jeana Kelly Fowler | Registered Nurse | 1449 W Main, Pawhuska, OK 74056 | 2006-08-10 |
1346800620 | Felix Peter Kasalika | Registered Nurse | 5350 E 46th St Ste 121, Tulsa, OK 74135-6601 | 2019-06-18 |
1578036893 | Gayla Brum | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2019-01-09 |
1699247213 | Stephanie Mae Porter | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2018-12-20 |
1073967246 | Marysue Elizabeth Farris | Registered Nurse | 2900 S Telephone Rd, Suite 250, Moore, OK 73160-2968 | 2016-04-14 |
1851703128 | Kimberly Cripps | Registered Nurse | 714 E Main St, Tishomingo, OK 73460-2350 | 2014-05-21 |
Find all providers with the same taxonomy |
City | OKLAHOMA CITY |
Zip Code | 73150 |
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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.