BRANDI RAE BABCOCK (NPI# 1306318373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306318373 |
| Entity Type | Individual |
| Full Name | BRANDI RAE BABCOCK |
| Practice Address |
1916 E Perkins Ave Guthrie OK 73044-5804 |
| Mailing Address |
404 E Orbit Dr Guthrie OK 73044-6333 |
| Practice Telephone | 4052828232 |
| Practice Fax Number | 4052820083 |
| Mailing Telephone | 4052696395 |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1916 E PERKINS AVE |
| City | GUTHRIE |
| State | OK |
| Zip Code | 73044-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417070384 | Jerry Lynn Brewer | Social Worker | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2007-04-07 |
| 1245898543 | Colleen Marie Wolfe | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2019-05-31 |
| 1417512161 | Lydia Ruth Anne Foxen | Behavioral Analyst | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2019-05-08 |
| 1477048056 | Shilmila Latasha White | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2018-06-26 |
| 1730677394 | Tiya Awe | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2018-04-28 |
| 1699288738 | Lyndsey Suzann Goad | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2017-11-12 |
| 1730626672 | Colby Leann Sharp | Substance Abuse Rehabilitation Facility | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2017-01-30 |
| 1487012795 | Kaela Potts | Case Manager/Care Coordinator | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2016-02-01 |
| 1568861854 | Tammy R Mckee | Social Worker | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2014-08-22 |
| 1386980092 | Jamie Sue Burger | Case Manager/Care Coordinator | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2012-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356869952 | Martha Jean Crowe | Technician, Other | 1916 E. Perkins, Guthrie, OK 73044 | 2017-09-03 |
| 1518487412 | Robin Lynn Wheeler | Peer Specialist | 2000 Woodlawn Dr. Apt B7, Guthrie, OK 73044 | 2017-06-21 |
| 1083147284 | Kourtney Stafford | Case Manager/Care Coordinator | 390 S Henney Rd, Guthrie, OK 73044 | 2017-04-05 |
| 1396297826 | Mary Ann Oliver | Case Management | 2403 S Division, Suite C&d, Guthrie, OKLAHOMA 73044 | 2016-11-01 |
| 1881143204 | Kathryn Elizabeth Price | Dietitian, Registered | 5750 Cedar Tree Cir, Guthrie, OK 73044 | 2016-09-27 |
| 1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
| 1023447166 | Leland Finn | Case Manager/Care Coordinator | 108 Harvest Road, Guthrie, OK 73044 | 2013-11-08 |
| 1891044632 | Sycheekia D King | Case Management | 913 E.springer, Guthrie, OK 73044 | 2012-09-07 |
| 1235486929 | Leondra Janell Doakes | Counselor | 1321 E. Oklahoma Ave., Guthrie, OK 73044 | 2012-08-13 |
| 1568756120 | Linda Jo Roper | Behavioral Analyst | 104 Eastwood Drive, Guthrie, OK 73044 | 2011-06-01 |
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| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419405 | Morgan Elizabeth Cieslak | Peer Specialist | 1301 E Harrison Ave, Guthrie, OK 73044-5413 | 2020-02-20 |
| 1689219321 | Heather Blane Beard | Peer Specialist | 423 S Capitol St, Guthrie, OK 73044-5301 | 2019-11-15 |
| 1518487412 | Robin Lynn Wheeler | Peer Specialist | 2000 Woodlawn Dr. Apt B7, Guthrie, OK 73044 | 2017-06-21 |
| 1245898543 | Colleen Marie Wolfe | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2019-05-31 |
| 1851860803 | Denise Ergang | Peer Specialist | 4710 S Division St, Guthrie, OK 73044-6506 | 2018-11-20 |
| 1396230637 | Trini Salazar | Peer Specialist | 4710 S Division St, Guthrie, OK 73044-6506 | 2018-06-28 |
| 1477048056 | Shilmila Latasha White | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2018-06-26 |
| 1730677394 | Tiya Awe | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2018-04-28 |
| 1699288738 | Lyndsey Suzann Goad | Peer Specialist | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2017-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
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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.