TINA MARIE LOPEZ (NPI# 1376143883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376143883 |
| Entity Type | Individual |
| Full Name | TINA MARIE LOPEZ |
| Practice Address |
933 N Oak St Ponca City OK 74601-3218 |
| Practice Telephone | 5807491048 |
| Mailing Telephone | 5807491048 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558573543 | Tina Lopez | Dental Hygienist | 3100 Fm 2920 Rd, Spring, TX 77388-3431 | 2007-05-04 |
| 1841613999 | Tina Lopez | Nurse Practitioner | 53 S Laurel St, Bridgeton, NJ 08302-1946 | 2014-01-27 |
| 1750717666 | Tina Lopez | Counselor | 400 W Visalia Rd, Suite B, Farmersville, CA 93223-1868 | 2013-09-24 |
| Street Address |
933 N OAK ST |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| 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 |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1497393243 | Amy Dawn Smith | Peer Specialist | 1713 Clarke St, Ponca City, OK 74601-2912 | 2019-12-11 |
| 1194362913 | Stephanie Lynn Wright | Peer Specialist | 1512 Queens Ave, Ponca City, OK 74604-1321 | 2019-12-01 |
| 1114569738 | Alan Keith Wilcoxson | Peer Specialist | 1801 Blackard Ln, Ponca City, OK 74604-3512 | 2019-10-15 |
| 1437691268 | Kathy Mitchell | Peer Specialist | 332 S Osage St Apt 1, Ponca City, OK 74601-5143 | 2016-11-10 |
| 1114550779 | Edgar Garcia | Peer Specialist | 2225 N Union St, Ponca City, OK 74601-1555 | 2020-02-21 |
| 1558993519 | Brandy Michelle Musgrove | Peer Specialist | 2225 N Union St, Ponca City, OK 74601-1536 | 2020-02-07 |
| 1689214165 | Linda Yvonne Winter | Peer Specialist | 2225 N Union St, Ponca City, OK 74601-1555 | 2020-01-13 |
| 1134774052 | Shaleen Fay Colton | Peer Specialist | 110 N 4th St, Ponca City, OK 74601-4527 | 2019-08-07 |
| 1417445511 | Kristopher Lee Butler | Peer Specialist | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2018-04-25 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on TINA MARIE LOPEZ.
| 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.