MRS. SYLVIA 'SHERRY' CHARISSE SMITH (NPI# 1144506684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144506684 |
| Entity Type | Individual |
| Full Name | MRS. SYLVIA 'SHERRY' CHARISSE SMITH |
| Credential | MHR |
| Practice Address |
499 Hardesty Dr Shawnee OK 74804-1134 |
| Practice Telephone | 4053959121 |
| Mailing Telephone | 4053959121 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OK | Behavioral Health & Social Service Providers |
| Street Address |
499 HARDESTY DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257305 | Kelsey Reye Hamel | Counselor | 12510 W 62nd Ter Ste 109, Shawnee, KS 66216-1869 | 2018-06-06 |
| 1992170013 | Jennifer M Babitzke | Counselor | 12424 W 62nd Ter, Suite A, Shawnee, KS 66216-1810 | 2015-12-01 |
| 1891168050 | Jason Oconnor | Counselor | 9 Quail Rdg, Shawnee, OK 74804-3228 | 2015-11-09 |
| 1164836581 | Sue Jacobson | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-13 |
| 1306262944 | Jane Marie Vogel | Counselor | 5302 Lucille Ln, Shawnee, KS 66203-1455 | 2014-03-06 |
| 1285832915 | Abigail Maree Cabaniss | Counselor | 1262 Augusta Ct, Shawnee, OK 74801-0500 | 2007-07-03 |
| 1679779987 | David G Lawson | Counselor | 6342 Long Ave, Suite A, Shawnee, KS 66216-2513 | 2007-06-23 |
| 1346366788 | Kellie Dunn | Counselor | 23 E 9th St, Suite 423, Shawnee, OK 74801-6943 | 2007-03-21 |
| 1548399769 | Kevin Jett | Counselor | 26 Father Joe Murphy Dr, Shawnee, OK 74801-8663 | 2007-03-05 |
| 1073555405 | Woodson Lee Coplen | Counselor | 420 N Kickapoo Ave, Shawnee, OK 74801-6643 | 2006-06-11 |
| Find all providers in SHAWNEE | ||||
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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.