MARISSA LYNN (NPI# 1255731576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255731576 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN |
| Practice Address |
1219 K St Nw Ardmore OK 73401-1801 |
| Mailing Address |
1217 Cruce St Ardmore OK 73401-5745 |
| Practice Telephone | 5807984523 |
| Mailing Telephone | 5805040518 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205238045 | Marissa J Lynn | Physical Therapist | 13 Vail Valley Dr, Manalapan, NJ 07726 | 2014-09-24 |
| 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 | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326425307 | Crisis Stabilization Unit | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2015-04-29 |
| 1871987560 | Channell Marie Hayes | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2015-03-20 |
| 1538575774 | Kimberly Gray | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2014-07-09 |
| 1215368907 | Debra Becerra | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2013-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952551079 | Keetoowah-cherokee Treatment Services | Rehabilitation, Substance Use Disorder Unit | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2008-09-25 |
| 1124228127 | Keetoowah - Cherokee Treatment Services | Rehabilitation, Substance Use Disorder Unit | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2007-07-19 |
| 1376742585 | Absentee Shawnee Counseling Services | Rehabilitation, Substance Use Disorder Unit | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-07-17 |
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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.