AMY L EBERLE (NPI# 1457825432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457825432 |
| Entity Type | Individual |
| Full Name | AMY L EBERLE |
| Practice Address |
3433 Nw 56th St Ste 400 Oklahoma City OK 73112-4430 |
| Mailing Address |
5401 N Portland Ave Ste 410 Oklahoma City OK 73112-2131 |
| Practice Telephone | 4059473341 |
| Practice Fax Number | 4059514358 |
| Mailing Telephone | 4056044202 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 87638 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA LICENSE | 87638 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336301290 | Amy D Eberle | Registered Nurse | 1251 W Kem Rd, Suite A, Marion, IN 46952-2561 | 2008-07-01 |
| Street Address |
3433 NW 56TH ST STE 400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528525 | Robert Mel Clark | Internal Medicine | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2005-06-14 |
| 1538681747 | Denise Bennett | Clinical Nurse Specialist | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2017-07-10 |
| 1437670676 | Crystal R Starbuck | Nurse Practitioner | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2017-06-28 |
| 1588194047 | Robin Lei Martin | Clinical Nurse Specialist | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2017-06-18 |
| 1124332978 | Kristina A Lewis | Physician Assistant | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2010-08-04 |
| 1720313901 | Christine G Dienna | Internal Medicine | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2009-10-06 |
| 1215127493 | Surya M Artham | Internal Medicine | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2007-07-25 |
| 1467590018 | Plaza Imaging | Internal Medicine | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2007-02-02 |
| 1386790012 | Integris Baptist Medical Center | Internal Medicine | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518390061 | Margaret Elaine Haxton | Clinical Nurse Specialist | 700 Ne 10th St, Oklahoma City, OK 73104-5404 | 2013-08-19 |
| 1497364699 | Stacie Jenelle Hanes | Clinical Nurse Specialist | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8358 | 2020-07-24 |
| 1659910446 | Rachel Aline Hollen Bublitz | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2019-12-27 |
| 1649824228 | Cheryl Abigail West | Clinical Nurse Specialist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2019-07-31 |
| 1003314600 | Jamie Louise Hunt | Clinical Nurse Specialist | 800 Stanton L Young, Andrews Academic Tower, Suite 8400, Oklahoma City, OK 73104 | 2018-01-29 |
| 1861915985 | Tara Marie Rose | Clinical Nurse Specialist | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2017-07-20 |
| 1538681747 | Denise Bennett | Clinical Nurse Specialist | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2017-07-10 |
| 1588194047 | Robin Lei Martin | Clinical Nurse Specialist | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2017-06-18 |
| 1194279679 | Elizabeth Pitman | Clinical Nurse Specialist | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2016-08-12 |
| 1265800775 | Toni Annette Harps | Clinical Nurse Specialist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2015-09-14 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.