JUDY CHAFFIN (NPI# 1457690463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457690463 |
| Entity Type | Individual |
| Full Name | JUDY CHAFFIN |
| Practice Address |
1127 N Kickapoo Ave Shawnee OK 74801-4845 |
| Mailing Address |
33207 45th St Shawnee OK 74804-3423 |
| Practice Telephone | 4054324132 |
| Practice Fax Number | 8773348552 |
| Mailing Telephone | 4054324132 |
| Mailing Fax Number | 8773348552 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1127 N KICKAPOO AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-4845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487966958 | Misty Michelle Douthit | Counselor | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2010-07-13 |
| 1073151932 | Brittani Lee Smith | Counselor | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2019-12-11 |
| 1841844875 | Kim Jenkins | Marriage & Family Therapist | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2019-07-29 |
| 1275186900 | Jana Day | Marriage & Family Therapist | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2019-07-22 |
| 1194282434 | Elishia White | Counselor | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2019-02-22 |
| 1649707035 | Karen Michele Lemmons | Counselor | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2017-05-16 |
| 1043746829 | Janet Renee' Ake | Marriage & Family Therapist | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2017-05-11 |
| 1720522238 | Julie Lockwood | Counselor | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2016-12-19 |
| 1255888426 | Jonathan Gibbs | Counselor | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2016-09-06 |
| 1851742480 | Cody Carlon | Counselor | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | 2016-06-24 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417431081 | Cura Counseling and Professional Development LLC | Counselor | 611 N Bonita Ave, Shawnee, OK 74801-6038 | 2018-09-19 |
| 1134614589 | Sayble Paige Turner | Counselor | 600 W Independence St Ste 1000, Shawnee, OK 74804-4320 | 2018-06-28 |
| 1548707169 | Courtney J Vaughn | Counselor | 600 W Independence St Ste 9010, Shawnee, OK 74804-4320 | 2017-01-20 |
| 1538567284 | Virgil Newport Jr. | Counselor | 2524 N Harrison St Trlr 8, Shawnee, OK 74804-3103 | 2014-12-11 |
| 1386064426 | Cassandra Alexander | Counselor | 6305 Moon Lake Cir, Shawnee, OK 74804-2649 | 2014-04-16 |
| 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 |
| 1386981017 | Janet Wilson | Counselor | 6826 Lackman Rd, Shawnee, KS 66217-9595 | 2013-01-15 |
| 1891051330 | Malita Elice Green | Counselor | 102 Ashley Dr, Shawnee, OK 74804-9710 | 2012-04-10 |
| 1275800997 | Latrice Vernice Jackson | Counselor | 1415 E 10th St, 2425 Lenore St., Shawnee, OK 74801-7801 | 2011-11-23 |
| Find all providers in SHAWNEE | ||||
Please comment or provide details below to improve the information on JUDY CHAFFIN.
| 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.