MR. TANNER CLARK (NPI# 1427421668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427421668 |
| Entity Type | Individual |
| Full Name | MR. TANNER CLARK |
| Credential | M.S. |
| Practice Address |
326 W 11th St Shawnee OK 74801-6710 |
| Mailing Address |
1806 N Nail Pkwy Moore OK 73160-4636 |
| Practice Telephone | 5802620250 |
| Mailing Telephone | 5802620250 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679841811 | Tanner Mark Clark | Dentist | 2203 Fitzwater St Unit 1, Philadelphia, PA 19146-1132 | 2011-12-02 |
| 1215465042 | Tanner Clark | Chiropractor | 458 N 500 W, Bountiful, UT 84010-6948 | 2017-05-24 |
| 1689060139 | Tanner Clark | Radiology | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-0002 | 2015-04-11 |
| 1790734796 | Tanner Jay Clark | Dentist | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 | 2006-05-08 |
| Street Address |
326 W 11TH ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019933 | Jana Alicyn Satzler | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-10-05 |
| 1750990719 | Michael Robert Haider | Contractor | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-07-27 |
| 1154930311 | Kristin Linn Brown | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-07-23 |
| 1083237564 | Debra Joan Webster | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-05-19 |
| 1922621481 | Kaylee Wilburn | Counselor | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-05-19 |
| 1366063935 | Gabrielle R Watts | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-05-05 |
| 1114553716 | Julianne Ennis | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-03-16 |
| 1972134237 | Kelsey Case | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2020-01-27 |
| 1215491048 | Lee Ann Clark | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2019-01-25 |
| 1831647791 | Sharon Trammell | Social Worker | 326 W 11th St, Shawnee, OK 74801-6710 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174040935 | Brooke Alane Runion | Marriage & Family Therapist | 624 W Independence St Ste 113, Shawnee, OK 74804-4329 | 2017-08-23 |
| 1700303575 | Mitchell Gene Deshazer | Marriage & Family Therapist | 624 W Independence St Ste 113-115, Shawnee, OK 74804-4306 | 2017-08-23 |
| 1144685199 | James A Morrison | Marriage & Family Therapist | 23785 W 57th St, Shawnee, KS 66226-2938 | 2015-12-17 |
| 1114276730 | Kimberly Rigsby | Marriage & Family Therapist | 8826 Santa Fe Drive, Suite 210, Shawnee, KS 66203 | 2012-08-29 |
| 1396978359 | Paulann C Canty | Marriage & Family Therapist | 219 E Highland St, Shawnee, OK 74801-7042 | 2009-08-25 |
| 1811133721 | Scott Hupfer | Marriage & Family Therapist | 4406 Bison Rd, Shawnee, OK 74804-1241 | 2008-12-23 |
| 1316192727 | Sheri Lynn Wood | Marriage & Family Therapist | 5548 Cody St, Shawnee, KS 66203-2212 | 2008-11-26 |
| 1972776946 | Paula Lorene Wilson | Marriage & Family Therapist | 4937 Parkhill St, Shawnee, KS 66216-1426 | 2008-04-10 |
| 1851561872 | Canaan R Crane | Marriage & Family Therapist | 624 W Independence St, Suite 113, Shawnee, OK 74804-4329 | 2008-03-05 |
| 1003939760 | Melissa P Donaghy | Marriage & Family Therapist | 5110 Rosehill Rd, Shawnee, KS 66216-1490 | 2007-04-09 |
| Find all providers in SHAWNEE | ||||
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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.