NORTHSIDE PSYCHIATRY PLLC (NPI# 1376052944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376052944 |
Entity Type | Organization |
Organization Name | NORTHSIDE PSYCHIATRY PLLC |
Practice Address |
2301 W I 44 Service Rd Ste 300 Oklahoma City OK 73112 |
Mailing Address |
Po Box 20327 Oklahoma City OK 73156-0327 |
Practice Telephone | 4058146550 |
Practice Fax Number | 2106402133 |
Mailing Telephone | 4058146550 |
Mailing Fax Number | 4052525651 |
Enumeration Date | 2017-09-26 |
Last Update Date | 2018-06-03 |
Authorized Official Name | ELIZABETH MUBURI (OWNER) |
Authorized Official Telephone | 4058146550 |
Authorized Official Credential | APRN-CNP, PMHNP- |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2301 W I 44 Service Rd, Oklahoma City, OK 731128729 | 4055889770 | |
2301 W I 44 Service Rd Ste 200, Oklahoma City, OK 731128766 | 4055889770 | |
2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 731128766 | 4058146550 | 2106402133 |
Street Address |
2301 W I 44 SERVICE RD STE 300 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780904110 | Ross Hardin Lents | Counselor | 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112-8766 | 2010-06-08 |
1184109787 | Brooke Peyton | Nurse Practitioner | 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112-8766 | 2018-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881141000 | Elizabeth Muburi | Nurse Practitioner | 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112-4286 | 2016-09-06 |
1417254236 | Vanessa Roxane Long | Nurse Practitioner | 100 Nw 63rd St Ste 100, Oklahoma City, OK 73116-8208 | 2011-02-14 |
1205468881 | Magdaline Epie | Nurse Practitioner | 4420 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-02-11 |
1841851672 | Lynn Armah | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2019-06-24 |
1912565995 | Jamie Holz | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2019-06-04 |
1497222616 | Renate Sabine Winningham | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2018-10-25 |
1184109787 | Brooke Peyton | Nurse Practitioner | 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112-8766 | 2018-09-28 |
1780184754 | Paula Jean Rother | Nurse Practitioner | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2018-02-16 |
1528104684 | Sue Cheril Rollins | Nurse Practitioner | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
1154976033 | Mindful Psychiatric Consulting LLC | Nurse Practitioner | 1700 Nw 174th St, Edmond, OK 73012-6963 | 2019-08-07 |
1811555154 | Pamela Jean Davies-jones | Nurse Practitioner | 3905 Brunswick Ln, Norman, OK 73072-1759 | 2019-06-02 |
1568920213 | Shannon Marie Rakowski | Nurse Practitioner | 2770 Washington Dr Ste 100, Norman, OK 73069-1016 | 2019-03-12 |
1346725595 | Elisabeth Mustachia | Nurse Practitioner | 600 W Boeing Dr, Ste D, Midwest City, OK 73110-3035 | 2018-10-03 |
1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
1649639550 | Jane M Harmon Dnp,rn,pmhnp-bc,pllc | Nurse Practitioner | 305 Dogwood Ct, Broken Bow, OK 74728-6118 | 2016-02-19 |
1902248123 | Satera Nicole Washington | Nurse Practitioner | 18308 Willow Oak Ln, Edmond, OK 73012-4042 | 2013-07-29 |
1477751196 | Enieni Elizabeth Okoya | Nurse Practitioner | 900 E. Main Street, Red Rock Behavioral Health Services Building 52-100, Norman, OK 73071 | 2007-07-03 |
Find all providers with the same taxonomy |
City | OKLAHOMA CITY |
Zip Code | 73112 |
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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.