KOREENA DAWN DAVIS (NPI# 1255842993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255842993 |
| Entity Type | Individual |
| Full Name | KOREENA DAWN DAVIS |
| Credential | RECOVERY COACH |
| Practice Address |
23 E Ross Ave Sapulpa OK 74066-6423 |
| Mailing Address |
8226 S 77th East Ave Apt 1093 Tulsa OK 74133-3923 |
| Practice Telephone | 9182272016 |
| Mailing Telephone | 9186456670 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
23 E ROSS AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572091 | Stacy Spears | Nurse Practitioner | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2005-10-19 |
| 1770181356 | Amber Baldwin | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-15 |
| 1578161881 | Sylvester Harris IIi | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-09 |
| 1366055014 | Amanda Williams | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-24 |
| 1861003618 | Precious D Miller | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-14 |
| 1487263778 | Melinda Vansandt | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-23 |
| 1700404449 | Jeremy John Myers | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-09 |
| 1336763945 | Jordan Patty | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-05-31 |
| 1720612799 | Tracy R Smith | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-27 |
| 1841824364 | Rebecca Gray | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740429414 | Georgia's Christian Counseling | Community/Behavioral Health | 11340 S 35th W Avenue, Sapulpa, OK 74066 | 2009-02-19 |
| 1215098389 | Choices for Life Foster Care, Inc. | Community/Behavioral Health | 724 S Mission St, Sapulpa, OK 74066-4660 | 2006-12-13 |
| 1023402740 | Creek Nation Behavioral Health | Community/Behavioral Health | 1943 S Water St, Sapulpa, OK 74066-6532 | 2015-03-19 |
| 1417190786 | Human Skill & Resources, Inc. | Community/Behavioral Health | 2 N Water St, Sapulpa, OK 74066-2816 | 2009-04-15 |
| 1922260223 | Creoks Behavioral Health | Community/Behavioral Health | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2008-06-27 |
| 1437291804 | Human Skills & Resources | Community/Behavioral Health | 2 N Water St, Sapulpa, OK 74066-2816 | 2007-02-13 |
| 1003900267 | Creoks Mental Health | Community/Behavioral Health | 15 E Dewey Ave, Sapulpa, OK 74066-4201 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
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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.