MRS. DIANE CASSODY WISEMAN (NPI# 1396072351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396072351 |
| Entity Type | Individual |
| Full Name | MRS. DIANE CASSODY WISEMAN |
| Other Name | MRS. ELIZABETH DIANE CASSODY |
| Practice Address |
10159 E 11th St Tulsa OK 74128-3058 |
| Mailing Address |
7711 E 86th St Tulsa OK 74133-6651 |
| Practice Telephone | 9188551435 |
| Practice Fax Number | 9188329431 |
| Mailing Telephone | 9188551435 |
| Mailing Fax Number | 9188329431 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3532 | OK | Behavioral Health & Social Service Providers |
| Street Address |
10159 E 11TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74128-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760418693 | Jacqueline Sue Chambliss | Social Worker | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2006-06-23 |
| 1407321672 | Anthony Jacob Yount | Nurse Practitioner | 10159 E 11th St, Tulsa, OK 74128-3058 | 2018-10-03 |
| 1366817751 | Leah Marie Jappe Hall | Psychologist | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-12-10 |
| 1316335664 | Muskogee Vamc | Clinic/Center | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-01-08 |
| 1235491358 | Eileen Lyon | Social Worker | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2012-06-14 |
| 1073709721 | Christina Angelena Perez-lanik | Social Worker | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2007-09-17 |
| 1023104262 | Peter Charles Ciali | Counselor | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2006-10-05 |
| 1427164193 | Dennis England | Social Worker | 10159 E 11th St, Tulsa, OK 74128-3058 | 2006-08-22 |
| 1689787244 | Jayne Rhea Oertle | Counselor | 10159 E 11th St, Tulsa, OK 74128-3058 | 2006-08-17 |
| 1861505034 | Ralph Edward Manning | Counselor | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
| 1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1841689189 | David L Hinman | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128 | 2015-01-09 |
| 1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
| 1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
| 1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
| 1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
| Find all providers in zip 74128 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328346 | Kathryn Glover Bishop | Counselor | 5921 E 97th St, Tulsa, OK 74137-5011 | 2020-08-26 |
| 1386291425 | Richard Carroll Wheat | Counselor | 5536 E 106th Pl, Tulsa, OK 74137-7089 | 2019-08-22 |
| 1235797747 | Better | Counselor | 301 W 63rd Ct N, Tulsa, OK 74126-1449 | 2019-05-30 |
| 1538634654 | Prevailing Passions Counseling | Counselor | 10212 E 41st St, Tulsa, OK 74146-3703 | 2018-10-04 |
| 1629552971 | Carole's Hope | Counselor | 7711 E 111th St Ste 116, Tulsa, OK 74133-2563 | 2018-09-22 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1164945820 | Maria Adeshina | Counselor | 2027 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6419 | 2017-07-24 |
| 1841730579 | Bowden Mcelroy and Associates, LLC | Counselor | 7136 S Yale Ave, Tulsa, OK 74136-6373 | 2017-02-28 |
| 1063960094 | Joanna Majka | Counselor | 5550 S Lewis Ave, Suite 301, Tulsa, OK 74105-7118 | 2016-09-19 |
| Find all providers in TULSA | ||||
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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.