LARRY MCBRIDE (NPI# 1174041297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174041297 |
| Entity Type | Individual |
| Full Name | LARRY MCBRIDE |
| Practice Address |
1219 K St Nw Ardmore OK 73401-1801 |
| Mailing Address |
508 Mayall St Marietta OK 73448-4206 |
| Practice Telephone | 5807984523 |
| Practice Fax Number | 5803195349 |
| Mailing Telephone | 5807984523 |
| Mailing Fax Number | 5803195349 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073608014 | Larry Mcbride | Dentist | 4241 Hwy 14 West, Rea Dental Clinic, Christopher, IL 62822 | 2006-10-04 |
| 1326143389 | Larry M Mcbride | Nurse Anesthetist, Certified Registered | 800 Oak St, Farmville, VA 23901-1199 | 2006-09-14 |
| Street Address |
1219 K ST NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225378623 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 1219 K St Nw, Ste. #2, Ardmore, OK 73401-1801 | 2013-02-21 |
| 1962035493 | Lori J Heilbrun | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-02-12 |
| 1710519822 | Julie Shoemake | Behavior Technician | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-02-06 |
| 1326679358 | Nannette Arlien Purifoy | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-01-29 |
| 1376173633 | Bianca Hamilton | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-01-24 |
| 1164060075 | Naomi Brown | Case Management | 1219 K St Nw, Ardmore, OK 73401-1801 | 2019-12-11 |
| 1619525813 | Rita Ann Zimmerman | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2019-08-30 |
| 1386113504 | Meagan Rachelle Fowler | Technician | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-11-16 |
| 1750865531 | Timothy Wayne Ramsey | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-09-18 |
| 1689170060 | Sierra Lorene Gaines | Specialist/Technologist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| 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 |
|---|---|---|---|---|
| 1528698487 | Tammy Cox | Peer Specialist | 2530 S Commerce St # B, Ardmore, OK 73401-5519 | 2020-01-20 |
| 1336793702 | Whitney Anderson | Peer Specialist | 719 Q St Sw, Ardmore, OK 73401-3516 | 2019-07-24 |
| 1235605817 | John Medwin Terry Jr. | Peer Specialist | 2428 Autumn Run Ste B, Ardmore, OK 73401-2222 | 2018-10-22 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1174123046 | Tonya R Collins | Peer Specialist | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2020-10-29 |
| 1467092882 | Megan Mccleary | Peer Specialist | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2020-01-14 |
| 1750865531 | Timothy Wayne Ramsey | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-09-18 |
| 1942719612 | Ashley Wallace | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2017-09-26 |
| 1558870287 | Crystal Birchfield | Peer Specialist | 1101 12th Ave Nw, Ardmore, OK 73401-5736 | 2017-09-26 |
| 1831615525 | Matthew Honeycutt | Peer Specialist | 2530 S Commerce St Bldg C, Ardmore, OK 73401-5519 | 2017-08-15 |
| Find all providers in ARDMORE | ||||
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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.