MRS. ADDISON BAILIE MCCONNELL (NPI# 1255789178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255789178 |
| Entity Type | Individual |
| Full Name | MRS. ADDISON BAILIE MCCONNELL |
| Other Name | MISS ADDISON BALIE GUTHRIE |
| Credential | BA |
| Practice Address |
904 Nw 4th St Stigler OK 74462-1653 |
| Practice Telephone | 9185712470 |
| Mailing Telephone | 9185712470 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | K860051454 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200507310 A | 05 | |
| OK | 100733860 B | 05 |
| Street Address |
904 NW 4TH ST |
| City | STIGLER |
| State | OK |
| Zip Code | 74462-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598971657 | Diana Kay Shores | Counselor | 904 Nw 4th St, Stigler, OK 74462-1653 | 2007-05-15 |
| 1063073989 | Taylor Nicole Wingo | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2019-06-21 |
| 1558920025 | Winter Apple | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2019-06-10 |
| 1275084907 | Candyce Marie Medlin | Case Manager/Care Coordinator | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-10-18 |
| 1245780592 | Regina Shumate | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-10-11 |
| 1073067344 | Melissa Reading | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-08-04 |
| 1598036501 | Debra A Campbell | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2012-01-23 |
| 1194033597 | Shannon Gail Roye Johnston | Counselor | 904 Nw 4th St, Stigler, OK 74462-1653 | 2010-09-20 |
| 1205167707 | Lisa Diane Trickett | Counselor | 904 Nw 4th St, Stigler, OK 74462 | 2010-01-22 |
| 1225246143 | Teri Dawn Starr | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275986879 | Amy Garman | Occupational Therapy Assistant | 392 W Brooken Mtn Rd, Stigler, OK 74462 | 2016-07-19 |
| 1528407624 | Thompson Hometown Eyecare LLC | Optometrist | 111 N. Broadway, Stigler, OK 74462 | 2013-06-21 |
| 1245579952 | United Partners Healthcare 2, Inc. | Home Health | 903 West Main Street, Stigler, OK 74462 | 2013-02-01 |
| 1164791745 | Teresa Lynn Lindsy | Psychologist | 208 N.e. 8th St, Stigler, OK 74462 | 2011-12-28 |
| 1700168994 | Counseling Services of Leflore County | Community/Behavioral Health | 605 E Main Street, Stigler, OK 74462 | 2011-09-13 |
| 1447561584 | Cah Acquisition Company 16 LLC | Clinic/Center | 901 Nw 6th Street, Stigler, OK 74462 | 2010-06-23 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1114241239 | Jack H Wilson | Counselor | 11730 Highway 9 West, Stigler, OK 74462 | 2010-03-18 |
| 1346563707 | Jack N. Sellers Dds, P.C. | Dentist | 103 N.w. 9th Street, Stigler, OK 74462 | 2010-03-12 |
| 1538490842 | Michael R Clark | Chiropractor | 804 S.e. 3rd St., Stigler, OK 74462 | 2010-01-26 |
| Find all providers in zip 74462 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245780592 | Regina Shumate | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-10-11 |
| 1073067344 | Melissa Reading | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043603376 | Arrow Child and Family Ministries of Oklahoma | Foster Care Agency | 7710 Nw 10th St, Oklahoma City, OK 73127-4413 | 2015-03-11 |
| 1740618305 | Good Samaritan Foster Care LLC | Foster Care Agency | 545 W Strothers Ave, Seminole, OK 74868-3126 | 2013-10-17 |
| 1073823431 | Melba Jo Atkinson | Foster Care Agency | 4777 110th. St., Byars, OK 74831 | 2010-10-19 |
| 1639400484 | James Kenneth Clemons | Foster Care Agency | 2725 Ne Euclid Ave, Lawton, OK 73507-7147 | 2010-01-19 |
| 1740826999 | Oklahoma Families First Inc | Foster Care Agency | 2227 W Lindsey St Ste 1550, Norman, OK 73069-4075 | 2019-11-22 |
| 1407211444 | Choices for Life Foster Care Inc. | Foster Care Agency | 4101 Perimeter Center Dr, Suite 250, Oklahoma City, OK 73112-2302 | 2015-12-17 |
| 1669809745 | Yco West, Inc Tfc | Foster Care Agency | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2013-10-03 |
| 1982046611 | Choices for Life | Foster Care Agency | 724 S Mission St, Sapulpa, OK 74066-4660 | 2013-07-23 |
| 1104263797 | Eckerd Youth Alternatives, Inc., Dba Eckerd Connects | Foster Care Agency | 5350 S Western Ave, Suite 600, Oklahoma City, OK 73109-4520 | 2013-05-23 |
| 1700137494 | Choices for Life Foster Care | Foster Care Agency | 724 S Mission St, Sapulpa, OK 74066-4660 | 2012-09-21 |
| Find all providers with the same taxonomy | ||||
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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.