GARY NELSON (NPI# 1255536454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255536454 |
| Entity Type | Individual |
| Full Name | GARY NELSON |
| Practice Address |
Rr 3 Box 1230 Wilburton OK 74578-9523 |
| Practice Telephone | 9184653854 |
| Mailing Telephone | 9184653854 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083088868 | Gary Nelson | Counselor | 8008 Route 130 Bldg A, Ste 206, Delran, NJ 08075-1869 | 2015-11-17 |
| 1619090834 | Gary L Nelson | Counselor | 14301 County Highway B, Sparta, WI 54656-4509 | 2007-04-10 |
| 1558423384 | Gary Lee Nelson | Dentist | 274 Delaware Avenue, Delmar, NY 12054 | 2006-12-15 |
| 1033277629 | Gary H Nelson | Technician/Technologist | 707 Fairmount Ave, Suite 11, Jamestown, NY 14701-2623 | 2006-12-05 |
| 1700954518 | Gary J Nelson | Dentist | 3350 S 15th E, Idaho Falls, ID 83404-8321 | 2006-12-01 |
| 1144327396 | Gary G Nelson | Specialist/Technologist | 2580 Mccrays Mill Rd, Sumter, SC 29154-6028 | 2006-09-20 |
| 1629035795 | Gary E Nelson | Physician Assistant | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-05-01 |
| 1245209634 | Gary Robert Nelson | Family Medicine | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 | 2006-03-16 |
| 1396290201 | Gary Edwin Nelson | Pharmacist | 1700 Ne 102nd Ave, Portland, OR 97220-3804 | 2016-08-20 |
| 1558644351 | Gary W Nelson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2011-09-28 |
| Street Address |
RR 3 BOX 1230 |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1285988683 | Cheryl Lin Kennon | Contractor | 320 Medlock St, Wilburton, OK 74578 | 2012-11-07 |
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| Find all providers in zip 74578 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700277704 | Melonie Jackson | Counselor | 700 Nw 1018th Ave, Wilburton, OK 74578-6605 | 2015-02-11 |
| 1841692019 | Crystal Renee Toland | Counselor | 2856 Nw 1050th Ave, Wilburton, OK 74578-6626 | 2014-09-19 |
| 1861803132 | Mendi Leighane Mcalester | Counselor | 2550 Se 150th Rd, Wilburton, OK 74578-7733 | 2014-05-08 |
| 1790123297 | Catherine Sonaggera Knight | Counselor | 6614 Nw 1035th Ave, Wilburton, OK 74578-6608 | 2013-06-06 |
| 1265788368 | Jennifer Houston | Counselor | 608 Sw 12th St, Wilburton, OK 74578-4810 | 2012-07-26 |
| 1477824704 | Jody Mckay | Counselor | 206 W Caddo Ave, Wilburton, OK 74578-2427 | 2012-01-18 |
| 1427327055 | Rebecca K Weeks | Counselor | 301 E Main St Ste 3, Wilburton, OK 74578-4415 | 2011-12-28 |
| 1528335700 | Kirsten Kalynn Reding | Counselor | 312 Nw 7th St, Wilburton, OK 74578-3416 | 2011-11-16 |
| 1932481330 | Kelli Mabry | Counselor | 301 E Main Suite 3, Wilburton, OK 74501-2314 | 2011-09-13 |
| 1578767240 | Mona Quaid | Counselor | Rr 2 Box 268, Wilburton, OK 74578-9651 | 2007-06-14 |
| Find all providers in WILBURTON | ||||
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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.