MRS. LEESA HERRMANN (NPI# 1205938966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205938966 |
| Entity Type | Individual |
| Full Name | MRS. LEESA HERRMANN |
| Credential | LPN |
| Practice Address |
112 Mckinley Ave Chandler OK 74834-1622 |
| Mailing Address |
312 W 2nd St Chandler OK 74834-2065 |
| Practice Telephone | 4052583040 |
| Mailing Telephone | 4052585439 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L0020159 | OK | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA BOARD OF NURSING | L0020159 | 01 |
| Street Address |
112 MCKINLEY AVE |
| City | CHANDLER |
| State | OK |
| Zip Code | 74834-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528078946 | Amanda Odom-lynch | Counselor | 112 Mckinley Ave, 1605 East First Street, Chandler, OK 74834-1622 | 2006-08-08 |
| 1972120681 | Melody Joyce Harris | Social Worker | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2020-06-29 |
| 1861058554 | April D Bruce | Case Manager/Care Coordinator | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2019-05-17 |
| 1124581467 | Alison Stewart | Case Manager/Care Coordinator | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2019-04-12 |
| 1578027322 | Jennifer Arms | Counselor | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2019-01-25 |
| 1568937456 | Jennifer R Ware | Counselor | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2018-10-08 |
| 1184109662 | Oklahoma Mental Health Council | Clinic/Center | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2018-10-01 |
| 1588140578 | Morgan Lagasse | Counselor | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2018-07-13 |
| 1932604659 | Debra L. Sheffield | Case Manager/Care Coordinator | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2018-03-26 |
| 1467998179 | Peggy Ann Danker | Social Worker | 112 Mckinley Ave, Chandler, OK 74834-1622 | 2017-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
| 1699283143 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 1116 Monvel Ave., Chandler, OK 74834 | 2018-01-18 |
| 1174995336 | Family Medicine & Urgent Care of Chandler, LLC | Nurse Practitioner | 405 N. Industrial Rd., Chandler, OK 74834 | 2015-10-28 |
| 1437481181 | Laurena Kleckner | Counselor | 112 North Kckinley Avenue, Chandler, OK 74834 | 2010-02-05 |
| 1578750196 | Kaw PC | Dentist | 1516 S Iowa, Chandler, OK 74834 | 2007-09-27 |
| 1457568719 | Oklahoma Mental Health Council | Community/Behavioral Health | 1605 E 1st St., Chandler, OK 74834 | 2007-05-17 |
| 1003038183 | Holly Melissa Shelton | Counselor | 112 N Mckinley, Chandler, OK 74834 | 2007-05-02 |
| 1235359548 | Oklahoma Mental Health Council | Community/Behavioral Health | 112 Mickley N, Chandler, OK 74834 | 2007-04-27 |
| 1215010913 | Daniel Joseph Wilguess | Dentist | 1516 South Iowa, Chandler, OK 74834 | 2006-10-24 |
| 1740394253 | Ashley Farmer | Counselor | 112 N. Mckinley, Chandler, OK 74834 | 2006-08-19 |
| Find all providers in zip 74834 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595945 | Amy Siller | Licensed Practical Nurse | 1175 W Pecos Rd Apt 1090, Chandler, AZ 85224-5269 | 2019-02-28 |
| 1457821860 | Katrina Beth White | Licensed Practical Nurse | 5213 Skyline Dr, Chandler, TX 75758-8551 | 2018-11-28 |
| 1750881793 | Brittany Barton | Licensed Practical Nurse | 1605 E Aloe Pl, Chandler, AZ 85286-2205 | 2018-02-16 |
| 1194225284 | Sarah Howard | Licensed Practical Nurse | 2112 W Silvergate Dr, Chandler, AZ 85224-1138 | 2018-02-15 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1316484264 | Yolanda Howard | Licensed Practical Nurse | 1970 N Hartford St Unit 68, Chandler, AZ 85225-7302 | 2017-01-30 |
| 1265978332 | Leigh Lowry | Licensed Practical Nurse | 855 N Dobson Rd Apt 2078, Chandler, AZ 85224-6971 | 2017-01-13 |
| 1477004539 | Leeann Kee | Licensed Practical Nurse | 3939 W Windmills Blvd Apt 1005, Chandler, AZ 85226-1355 | 2016-10-24 |
| 1114472685 | Shirley Trinidad | Licensed Practical Nurse | 1351 W Pelican Ct, Chandler, AZ 85286-8339 | 2016-08-24 |
| 1689059529 | Vincent Abella | Licensed Practical Nurse | 43 N Valencia Pl, Chandler, AZ 85226-5061 | 2015-07-21 |
| Find all providers in CHANDLER | ||||
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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.