CHARLI ANGELIC RIDDLE (NPI# 1447759626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447759626 |
| Entity Type | Individual |
| Full Name | CHARLI ANGELIC RIDDLE |
| Practice Address |
606 Kihekah Ave Pawhuska OK 74056-4225 |
| Practice Telephone | 9182875413 |
| Practice Fax Number | 9182875234 |
| Mailing Telephone | 9182875413 |
| Mailing Fax Number | 9182875234 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
606 KIHEKAH AVE |
| City | PAWHUSKA |
| State | OK |
| Zip Code | 74056-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124042809 | Footcare & More LLC | Clinic/Center | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2006-07-27 |
| 1386137701 | Jessica Walker | Social Worker | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2018-06-11 |
| 1184169450 | Tara Malaske | Case Manager/Care Coordinator | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2016-12-22 |
| 1427433184 | Steven D Hawthorne | Counselor | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2015-07-23 |
| 1285909705 | Jon S Polen | Counselor | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2012-03-16 |
| 1821323718 | Jennifer C Mcglothlin | Counselor | 606 Kihekah Ave, Pawhuska, OK 74056 | 2009-10-09 |
| 1255473344 | Happy Feet LLC | Physical Medicine & Rehabilitation | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2007-02-13 |
| 1033283452 | Visionquest Inc | Durable Medical Equipment & Medical Supplies | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033765227 | Heather N Barkley | Case Manager/Care Coordinator | 1616 Mckenzie Road, Pawhuska, OK 74056 | 2019-08-13 |
| 1871092494 | Pawhuska Hospital Inc | Clinic/Center | 1109 E 15th St, Pawhuska, OK 74056 | 2018-02-09 |
| 1043618572 | Dagenais & Associates Medical Clinic, LLC | Physician Assistant | 137 East Main, Pawhuska, OK 74056 | 2014-12-16 |
| 1659615904 | Osage Nation | Community/Behavioral Health | 126 6th Street, Pawhuska, OK 74056 | 2012-11-26 |
| 1366707481 | Louis G Gray I | Counselor | 1011 Grandview, Pawhuska, OK 74056 | 2012-07-05 |
| 1205096427 | Eric A Amberson | Emergency Medicine | 230 E. 5th Street, Pawhuska, OK 74056 | 2008-06-11 |
| 1407030356 | Angels Health Care Clinic Inc | Clinic/Center | 47922 St Hwy 99, Pawhuska, OK 74056 | 2007-12-27 |
| 1871795740 | Help Works, Inc | Day Training, Developmentally Disabled Services | 219 Lincoln, Pawhuska, OK 74056 | 2007-06-04 |
| 1639205628 | William Franklin Pendley | Counselor | Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 | 2007-02-26 |
| 1265591416 | Gemini Medical Group | Family Medicine | 701 Leahy, Pawhuska, OK 74056 | 2006-12-06 |
| Find all providers in zip 74056 | ||||
| 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 |
|---|---|---|---|---|
| 1730714817 | Ashlee C Perrier | Peer Specialist | 100 W Main St Ste 400, Pawhuska, OK 74056-0001 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.