ALICIA MARTINEZ-CRUZ (NPI# 1255797858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255797858 |
| Entity Type | Individual |
| Full Name | ALICIA MARTINEZ-CRUZ |
| Practice Address |
1605 N Harrison St Shawnee OK 74804-4022 |
| Practice Telephone | 4054817187 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1605 N HARRISON ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891762951 | Brian Ernest Drew | Dentist | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2006-03-07 |
| 1932729092 | Andra Elizabeth Tipton | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2020-04-19 |
| 1902464308 | Brittny Rayeann Bradford | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-05-31 |
| 1427517572 | Shelley L Coffman | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-03-18 |
| 1992260004 | Juanita Pearl Marshall | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-02-02 |
| 1124507579 | Amy Adelle Jennings | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2018-08-07 |
| 1477060424 | Whitney Rhea Elliott | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2017-12-29 |
| 1710402946 | Jennifer Lynn Cheatham | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2017-08-09 |
| 1235680984 | Twenty-nine 11, Inc. | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-10-18 |
| 1184085367 | Twenty-nine 11 Inc | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404415 | Connor Blaine Rutherford | Student in an Organized Health Care Education/Training Program | 1808 Lantana Ct, Shawnee, OK 74804-3209 | 2020-07-09 |
| 1730714155 | Sheena Jo Coleman | Student in an Organized Health Care Education/Training Program | 6018 Marion St, Shawnee, KS 66218-9254 | 2020-03-05 |
| 1215568589 | Bhupinderjit Kaur Ballagan | Student in an Organized Health Care Education/Training Program | 5112 Meadow Height Dr, Shawnee, KS 66226-2291 | 2020-01-27 |
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1235663444 | Nida Hameedi | Student in an Organized Health Care Education/Training Program | 9423 Sunray Dr, Shawnee, KS 66227-2822 | 2017-04-13 |
| 1467804815 | Kaitlyn Anne Heffernon | Student in an Organized Health Care Education/Training Program | 5114 Aminda St, Shawnee, KS 66226-2682 | 2016-07-11 |
| 1942674320 | Carlos Monteagudo | Student in an Organized Health Care Education/Training Program | 21322 W 55th Ter, Shawnee, KS 66218-9375 | 2015-11-22 |
| 1073159281 | Renee Lynn Garuccio | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-11-22 |
| 1376048389 | Heather Elise Timm | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2018-03-30 |
| 1619403516 | Darian English | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2017-05-11 |
| Find all providers in SHAWNEE | ||||
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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.