SHERRY LYNN ROUSE (NPI# 1194047167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194047167 |
Entity Type | Individual |
Full Name | SHERRY LYNN ROUSE |
Credential | RN |
Practice Address |
103 N Wheeler Ave Sallisaw OK 74955-4617 |
Mailing Address |
Rr 2 Box 179-1 Vian OK 74962-9265 |
Practice Telephone | 9187757751 |
Practice Fax Number | 9187757932 |
Mailing Telephone | 9187738534 |
Mailing Fax Number | 9187757932 |
Enumeration Date | 2010-02-18 |
Last Update Date | 2010-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA2000X |
Registered Nurse Specialization: Administrator |
R0097115 | OK | Nursing Service Providers |
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R0097115 | OK | Nursing Service Providers |
Street Address |
103 N WHEELER AVE |
City | SALLISAW |
State | OK |
Zip Code | 74955-4617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881921898 | Sequoyah Residential Mental Health Facility, Inc | Community Based Residential Treatment Facility, Mental Illness | 103 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2009-11-11 |
1063832582 | Michele Hensley | Registered Nurse | 103 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2014-04-23 |
1861779837 | Connie Robertson | Case Manager/Care Coordinator | 103 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2011-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
Find all providers in zip 74955 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023509361 | Farahnez Weir-caswell | Registered Nurse | 909 Alameda St Bldg C, Norman, OK 73071-5229 | 2018-05-22 |
1356783310 | Patricia Potter | Registered Nurse | 101 Gibbs, Norman, OK 73070-0000 | 2013-07-19 |
1003058132 | Sherry Lynn Howard | Registered Nurse | 641 S Cedar St, Bristow, OK 74010-3609 | 2009-04-03 |
1669632667 | Tina G Wiles | Registered Nurse | 501 East Second Street, Heavener, OK 74937 | 2008-06-12 |
1932314572 | Donna Sue Blake | Registered Nurse | 70th N. 31st, Clinton, OK 73601 | 2007-05-14 |
1881800431 | Janet Kay Lowder | Registered Nurse | 108 W Chicago St, Shawnee, OK 74804-2800 | 2007-05-14 |
1619070901 | Lisa Marie Reichert | Registered Nurse | 90 N. 31st, Clinton, OK 73601 | 2006-09-05 |
1356960421 | Amy Jean Hoffman | Registered Nurse | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-04-09 |
1205462801 | Andrea Corin Manley | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-03-16 |
1720612799 | Tracy R Smith | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-27 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SHERRY LYNN ROUSE.
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.