JOWAHN DENEL POTEAT (NPI# 1386962769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386962769 |
Entity Type | Individual |
Full Name | JOWAHN DENEL POTEAT |
Practice Address |
1300 Hoppe Blvd. Suite 4 Ada OK 74820 |
Mailing Address |
1300 Hoppe Blvd. Suite 1 Ada OK 74820 |
Practice Telephone | 5802725170 |
Practice Fax Number | 5804218772 |
Mailing Telephone | 5804367211 |
Mailing Fax Number | 5802725757 |
Enumeration Date | 2010-05-11 |
Last Update Date | 2018-10-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
1300 HOPPE BLVD. SUITE 4 |
City | ADA |
State | OK |
Zip Code | 74820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619189883 | Stacy Erin Johnson | Counselor | 1300 Hoppe Blvd., Suite 4, Ada, OK 74820 | 2007-05-03 |
1104296334 | Marla Bronson | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2015-09-30 |
1164830493 | Barry Daniel Hughes | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2014-07-30 |
1689968422 | Christopher John Aducci | Counselor | 1300 Hoppe Blvd., Suite 4, Ada, OK 74820 | 2011-06-08 |
1851680433 | Ryan Patrick Mcmahan | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2011-04-04 |
1205030046 | Alicia Anne Wear | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
Find all providers in zip 74820 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174910384 | Robert B. Thompson | Counselor | 8945 Vergennes St Se, Ada, MI 49301-8901 | 2015-04-25 |
1629412523 | Rebecca Ann Crawford | Counselor | 124 S Broadway Ave Ste 409, Ada, OK 74820-5807 | 2013-04-22 |
1932402096 | Larry D Harrel | Counselor | Resource Management, 1300 Hoppe Blvd., Suite 6, Ada, OK 74820 | 2010-12-13 |
1144535758 | Tina Renee Gilmore | Counselor | 704 N Oak Ave Ste 20, Ada, OK 74820-3267 | 2010-08-09 |
1932427853 | Gayla Jean Callaway | Counselor | 231 Seabrook Drive, Ada, OK 74820 | 2010-05-17 |
1912225962 | Brandi Bowman | Counselor | Outpatient Services Ada, 1300 Hoppe Blvd Suite 5, Ada, OK 74820 | 2010-05-13 |
1003097908 | Paula Turner | Counselor | 730 E 15th Street, Ada, OK 74820-3267 | 2007-11-19 |
1134314503 | Candy Michelle Hightower | Counselor | 1201 Arlington St Ste G, Ada, OK 74820-4072 | 2007-09-10 |
1003014200 | Sharell Clydean Caton | Counselor | 10725 County Road 3590, Ada, OK 74820-0058 | 2007-07-10 |
1689877904 | Judy Lynne Parkins | Counselor | 124 S Broadway Ave, Suite 408, Ada, OK 74820-5807 | 2007-06-06 |
Find all providers in ADA |
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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.