CONSTANCE STIDHAM


Address: 90 N 31st St, Clinton, OK 73601
Phone: 5803236021

CONSTANCE STIDHAM (NPI# 1548820251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548820251
Entity Type Individual
Full Name CONSTANCE STIDHAM
Practice Address 90 N 31st St
Clinton
OK 73601
Mailing Address 29825 State Highway 37
Hinton
OK 73047
Practice Telephone 5803236021
Mailing Telephone 5803024619
Enumeration Date 2019-06-14
Last Update Date 2019-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 90 N 31ST ST
City CLINTON
State OK
Zip Code 73601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316149115 Kelli Denise Williams Social Worker 90 N 31st St, Clinton, OK 73601-9116 2007-06-04
1891331351 Ricki Dawn Bartlett Licensed Practical Nurse 90 N 31st St, Clinton, OK 73601-9116 2019-11-20
1578107231 Katlyn Beth Hogan Counselor 90 N 31st St, Clinton, OK 73601-9116 2019-11-05
1942775093 Debbie Willene Ailanjian Counselor 90 N 31st St, Clinton, OK 73601-9116 2018-10-04
1992285381 Aleesha Marie Fuller Counselor 90 N 31st St, Clinton, OK 73601-9116 2018-08-15
1124504824 Rachel M Yarnell Case Manager/Care Coordinator 90 N 31st St, Clinton, OK 73601-9116 2018-07-16
1376045211 Bailee Rene' Weems Social Worker 90 N 31st St, Clinton, OK 73601-9116 2018-03-07
1871000364 Brittany Nicole Sears Counselor 90 N 31st St, Clinton, OK 73601-9116 2018-01-05
1942711429 Krystin Paige Turney Counselor 90 N 31st St, Clinton, OK 73601-9116 2017-10-23
1730607383 Zoe Johnette Frymire Registered Nurse 90 N 31st St, Clinton, OK 73601 2017-09-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225514458 April Walker Pharmacist 100 N. 30th, Clinton, OK 73601 2018-07-11
1477045995 Dynamic Psychological & Mediation Services Counselor 104 S 7th St, Clinton, OK 73601 2018-05-31
1619490851 Kristyn Wagner Social Worker 90 N 31st Street, Clinton, OK 73601 2017-07-19
1124478193 Lindsay Dlugonski Nurse Practitioner 545 S. 30th Street, Clinton, OK 73601 2016-06-20
1881059434 Cathrine Mears Counselor 94 N 31st, Clinton, OK 73601 2015-12-28
1326464603 Melissa Lucia Torres Nurse Practitioner 3140 W. Hayes, Clinton, OK 73601 2014-03-11
1356789341 Clinton Hmpn, LLC Family Medicine 129 S. 9th Street, Clinton, OK 73601 2013-06-12
1881950970 Namen Bouma Counselor 70-100 N. 31st Street, Clinton, OK 73601 2012-04-03
1366717928 Sherri Lee Milliron Counselor 70-100 N 31st, Clinton, OK 73601 2012-03-15
1740597087 Susan Kathleen Hodges Counselor 19 Sunset Place, Clinton, OK 73601 2010-09-08
Find all providers in zip 73601

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295353100 Mason Paige Gambrell Student in an Organized Health Care Education/Training Program 107 Shellcreek Ct, Clinton, SC 29325 2020-07-07
1467080960 Jordan Elias Hobaica Student in an Organized Health Care Education/Training Program 3956 Cleary Rd, Clinton, NY 13323-4112 2020-03-30
1023464476 Gregory Scott Medved Student in an Organized Health Care Education/Training Program 1874 N 1225 W, Clinton, UT 84015-8912 2016-05-04
1801109251 Mary Lee Student in an Organized Health Care Education/Training Program 1150 State Route 54 W, Clinton, IL 61727-2148 2010-07-14
1144437237 South Vermillion Community School Corporation Student in an Organized Health Care Education/Training Program 800 W. Wildcat Dr., Clinton, IN 47842-0387 2007-05-17
1902900996 Paul Alan Fuentes Student in an Organized Health Care Education/Training Program 517 S 6th St, Clinton, OK 73601-4613 2006-09-11
1588277446 Tori Weaver Student in an Organized Health Care Education/Training Program 19 Robinson Rd, Clinton, NY 13323-1418 2020-08-28
1114545043 Benjamin Russell Hobaica Student in an Organized Health Care Education/Training Program 3956 Cleary Rd, Clinton, NY 13323-4112 2020-07-07
1679192082 Henry Nathaniel Curry Student in an Organized Health Care Education/Training Program 607 Beaman St, Clinton, NC 28328-2603 2020-04-15
1073132338 Yasmin Hadian Student in an Organized Health Care Education/Training Program 607 Beaman St, Clinton, NC 28328-2603 2020-04-15
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 73601

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Dataset Information

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.

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