MS. PEGGY RUTH IMMOHOTICHEY (NPI# 1326328667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326328667 |
Entity Type | Individual |
Full Name | MS. PEGGY RUTH IMMOHOTICHEY |
Credential | RN |
Practice Address |
1631 E Us Highway 66 El Reno OK 73036-5769 |
Mailing Address |
1631a East Highway 66 El Reno OK 73036-5769 |
Practice Telephone | 4052627631 |
Practice Fax Number | 4052628099 |
Mailing Telephone | 4052627631 |
Mailing Fax Number | 4052628099 |
Enumeration Date | 2011-08-18 |
Last Update Date | 2011-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
R51240 | OK | Nursing Service Providers |
Street Address |
1631 E US HIGHWAY 66 |
City | EL RENO |
State | OK |
Zip Code | 73036-5769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992980544 | Shahida Asif | Internal Medicine | 1631 E Us Highway 66, El Reno, OK 73036-5769 | 2008-01-02 |
1518241959 | Todd Thomas Lawrence | Registered Nurse | 1631 E Us Highway 66, El Reno, OK 73036-5769 | 2011-10-04 |
1013220920 | Cristina Lynn Brovont | Dentist | 1631 E Us Highway 66, Suite A, El Reno, OK 73036-5769 | 2010-07-20 |
1346491081 | Andrea Lynn Jackson | Pharmacist | 1631 E Us Highway 66, El Reno, OK 73036-5769 | 2008-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
Find all providers in zip 73036 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
1780794701 | Joni Lynn Javellas | Registered Nurse | 213 Meadow Creek Ln, Dewey, OK 74029-3040 | 2006-08-30 |
1912516154 | Bradah Littlefield | Registered Nurse | 31870 E. Hwy 51, Coweta, OK 74426 | 2020-07-23 |
1992363410 | Stephanie Ann Oberst | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2019-05-30 |
1639652092 | Lorrie Ann Pinkston | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2018-09-12 |
1821500638 | Jessica Lynn Vaughan | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2017-11-02 |
1801339270 | Mary Elizabeth Vela | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2016-12-02 |
1235504325 | Lisa Mays | Registered Nurse | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2015-12-01 |
1659790434 | Molly Edith Danforth | Registered Nurse | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2014-04-09 |
1023352721 | Mary E Zientek | Registered Nurse | 781 Grand Casino Blvd, Citizen Potawatomi Nation Health Services, Shawnee, OK 74804-1005 | 2012-11-19 |
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.