DONNA AULTZ


Address: 114 W Delaware Ave, Nowata, OK 74048-2601
Phone: 9182731841

DONNA AULTZ (NPI# 1386178549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386178549
Entity Type Individual
Full Name DONNA AULTZ
Practice Address 114 W Delaware Ave
Nowata
OK 74048-2601
Mailing Address 114 W Cherokee Ave
Nowata
OK 74048-2603
Practice Telephone 9182731841
Practice Fax Number 9182731843
Mailing Telephone 9182731841
Mailing Fax Number 9182731843
Enumeration Date 2017-04-14
Last Update Date 2017-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 114 W DELAWARE AVE
City NOWATA
State OK
Zip Code 74048-2601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467460931 Grand Lake Mental Health Center, Inc. Clinic/Center 114 W Delaware Ave, Nowata, OK 74048-2601 2006-08-03
1134740871 Christina Wright Peer Specialist 114 W Delaware Ave, Nowata, OK 74048-2601 2020-05-05
1972123271 Ashley Ellen Mcbee Case Manager/Care Coordinator 114 W Delaware Ave, Nowata, OK 74048-2601 2020-04-16
1851930473 Autumn Renee Day Case Manager/Care Coordinator 114 W Delaware Ave, Nowata, OK 74048-2601 2019-12-30
1508320656 Kaitlyn Alexzandria Hall Case Manager/Care Coordinator 114 W Delaware Ave, Nowata, OK 74048-2601 2019-01-23
1306322623 William James Caulfield IIi Peer Specialist 114 W Delaware Ave, Nowata, OK 74048-2601 2018-07-19
1174009039 Robert Jackson Peer Specialist 114 W Delaware Ave, Nowata, OK 74048 2018-07-13
1508352030 Trica Deann Walters Peer Specialist 114 W Delaware Ave, Nowata, OK 74048-2601 2018-07-09
1346754405 Julie Starr Staiger Case Manager/Care Coordinator 114 W Delaware Ave, Nowata, OK 74048-2601 2017-11-28
1962851709 Tina Nelson Social Worker 114 W Delaware Ave, Nowata, OK 74048-2601 2016-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225647142 Lacey Catherine Woolman Case Manager/Care Coordinator 114 W. Deleware Ave, Nowata, OK 74048 2020-07-27
1891261095 Kristina E Edens Counselor 114 W Deleware, Nowata, OK 74048 2018-10-16
1497247142 Dustin James Lang Counselor 111 W Deleware, Nowata, OK 74048 2018-05-30
1679011928 Melanie Jane Cline Counselor 114 West Delaware, Nowata, OK 74048 2017-02-07
1063955276 Rebecca A Kidwell Registered Nurse 1024 Lenape Drive, Nowata, OK 74048 2016-11-21
1477724912 City of Nowata Medical Trust Authority Ambulance 425 S. Cedar, Nowata, OK 74048 2008-03-12
1023238235 Charles F Danley Counselor 114 W Delaware, Nowata, OK 74048 2007-04-27
1730221177 Robert Bruce Rickards Dentist 117 W Delaware Ave, Nowata, OK 74048 2007-02-13
1023156791 Debra Keith Physician Assistant 237 S Locust, Nowata, OK 74048 2007-02-02
1942390406 Harold Lowell Meister Optometrist 111 North Maple Street, Nowata, OK 74048 2006-10-13
Find all providers in zip 74048

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871116533 Taylor Arnett Peer Specialist 325 S Ash St, Nowata, OK 74048-4628 2020-05-28
1134740871 Christina Wright Peer Specialist 114 W Delaware Ave, Nowata, OK 74048-2601 2020-05-05
1518503457 Robbie J Moll Peer Specialist 325 S Ash St, Nowata, OK 74048-4628 2019-11-26
1306322623 William James Caulfield IIi Peer Specialist 114 W Delaware Ave, Nowata, OK 74048-2601 2018-07-19
1174009039 Robert Jackson Peer Specialist 114 W Delaware Ave, Nowata, OK 74048 2018-07-13
1508352030 Trica Deann Walters Peer Specialist 114 W Delaware Ave, Nowata, OK 74048-2601 2018-07-09
1427558170 Chelsea Olivia Richardson Peer Specialist 111 W Delaware Ave, Nowata, OK 74048-2616 2018-02-20
1568979136 Alisa Ann Foster Peer Specialist 111 W Delaware Ave, Nowata, OK 74048-2616 2018-01-04
1780190603 Charles Lee Hamit Peer Specialist 111 W Delaware Ave, Nowata, OK 74048-2616 2017-12-15
1265948004 Latricia Edna Shambles Peer Specialist 111 W Delaware Ave, Nowata, OK 74048-2616 2017-12-15
Find all providers in NOWATA

Competitor

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City NOWATA
Zip Code 74048

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Dataset Information

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.

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