TAMARA RAE BRUNK (NPI# 1336477728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336477728 |
| Entity Type | Individual |
| Full Name | TAMARA RAE BRUNK |
| Other Name | TAMARA MEIER |
| Credential | APRN-CNS |
| Practice Address |
2510 Chickasaw Blvd Ardmore OK 73401 |
| Mailing Address |
1921 Stonecipher Dr Ada OK 74820-3439 |
| Practice Telephone | 5802268181 |
| Mailing Telephone | 5803105687 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
83324 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Nw Expressway, Oklahoma City, OK 731124418 | 4055520136 | 4059496093 |
| Street Address |
2510 CHICKASAW BLVD |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879356 | Daniel Woods | Optometrist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-02-08 |
| 1700308194 | Melinda Kelsey | Dietitian, Registered | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2017-07-07 |
| 1316324809 | Paula Hunter | Physical Therapy Assistant | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2015-05-04 |
| 1811205925 | Tasha Renee Preston | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2010-09-23 |
| 1386815421 | Jean Suzanne Cannon | General Practice | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2008-03-17 |
| 1285832436 | Lucille Way | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-07-10 |
| 1053516781 | David Harris | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-06-21 |
| 1952515967 | Joel Herschler | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2007-05-09 |
| 1669597027 | Chickasaw Nation Division of Health | Pharmacy | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-03-21 |
| 1730249186 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598096646 | Teresa Jeanne Etter | Clinical Nurse Specialist | 3568 Mcclaflin Dr, Enid, OK 73701-7745 | 2010-01-28 |
| 1457812752 | Amber Garretson | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2019-03-28 |
| 1689016131 | Jennifer Shepherd Kuwitzky | Clinical Nurse Specialist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2013-07-25 |
| 1023318185 | Lisa Darcell Davis | Clinical Nurse Specialist | 6161 S Yale Ave, Suite A100, Tulsa, OK 74136-1902 | 2010-10-23 |
Please comment or provide details below to improve the information on TAMARA RAE BRUNK.
| 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.