MS. JACQUELINE LAVON BOECK (NPI# 1225294820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225294820 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE LAVON BOECK |
| Other Name | MS. PAMELA KAY HOLT |
| Practice Address |
1031 E 5th St Cushing OK 74023-4503 |
| Practice Telephone | 9182250031 |
| Mailing Telephone | 9182250031 |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2008-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278P1004X |
Respiratory Therapist, Certified Specialization: Pulmonary Diagnostics |
1800 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1031 E 5TH ST |
| City | CUSHING |
| State | OK |
| Zip Code | 74023-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851543383 | Pamela Kay Holt | Technician, Other | 1031 E 5th St, Cushing, OK 74023-4503 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982069654 | Laneta D Houston | Nurse's Aide | 1700 E Walnut, Cushing, OK 74023 | 2015-12-23 |
| 1306211024 | Deborah Denise Young | Speech-Language Pathologist | 316 N. Steele Ave, Cushing Upper Elementary, Cushing, OK 74023 | 2015-12-07 |
| 1821463647 | Ladawna Shawndrae Hollingshad | Nurse's Aide | 1405 E Moses, Cushing, OK 74023 | 2015-12-04 |
| 1932573094 | Margaret Marie King | Nurse's Aide | 1405 East Moses, Crushing, OK 74023 | 2015-11-30 |
| 1689056509 | Victoria Moran Nash | Counselor | 321 E. Main, Cushing, OK 74023 | 2015-06-27 |
| 1609140755 | Custom Dental of Cushing,pllc | Dentist | 3200 E. Main Street, Cushing, OK 74023 | 2012-03-06 |
| 1487957601 | World Wide Anesthesia Alliance | Nurse Anesthetist, Certified Registered | 2340 E Main, Cimarron Healthcare Center, Cushing, OK 74023 | 2010-12-09 |
| 1043520695 | Cheryl Kelly | Physical Therapist | 2809 E 9th St, Cushing, OK 74023 | 2010-10-18 |
| 1821279746 | Michael A Miller | Counselor | 100 S Jones, Cushing Valley Hope, Cushing, OK 74023 | 2007-11-20 |
| 1881763050 | Mays Drug Stores Inc | Pharmacy | 2110-o East Main, Cushing, OK 74023 | 2006-11-06 |
| Find all providers in zip 74023 | ||||
| Taxonomy Code | 2278P1004X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Pulmonary Diagnostics |
| Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies. |
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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.