DERRA BISHOP (NPI# 1548829054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548829054 |
| Entity Type | Individual |
| Full Name | DERRA BISHOP |
| Practice Address |
110 N 4th St Ponca City OK 74601 |
| Mailing Address |
110 N 4th St Ponca City OK 74601-4527 |
| Practice Telephone | 5807495056 |
| Mailing Telephone | 5807495056 |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1613 Bradbary Ln, Ponca City, OK 746012514 | 5806281551 |
| Street Address |
110 N 4TH ST |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316969157 | Lisa Ann Seabridge | Social Worker | 110 N 4th St, Ponca City, OK 74601 | 2006-07-24 |
| 1558989897 | Esther Adedayo | Counselor | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-07-13 |
| 1083233050 | Daniel James Shaffer | Case Manager/Care Coordinator | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-04-10 |
| 1366079774 | Tonya Marie Hill | Case Manager/Care Coordinator | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-03-25 |
| 1831725654 | Jacqueline Anders Benatar | Case Manager/Care Coordinator | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-03-13 |
| 1952941486 | Diana Llaquelly Chaires | Case Manager/Care Coordinator | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-01-13 |
| 1174163810 | Carol M. Jensen-fry | Case Manager/Care Coordinator | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-01-10 |
| 1851931794 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-01-08 |
| 1710526587 | Ashley Lee Adams | Case Manager/Care Coordinator | 110 N 4th St, Ponca City, OK 74601-4527 | 2019-12-27 |
| 1346889169 | Joy Diane Butler | Registered Nurse | 110 N 4th St, Ponca City, OK 74601-4527 | 2019-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1063078814 | Tem Projects LLC | Case Manager/Care Coordinator | 2013 Woodmont, Ponca City, OK 74604-1530 | 2019-05-17 |
| 1508422783 | Cyndi Leola Burke | Case Manager/Care Coordinator | 827 E Hubbard Rd, Ponca City, OK 74601-1073 | 2019-05-14 |
| 1467016311 | Jennifer Swope | Case Manager/Care Coordinator | 10 Valleyview Dr, Ponca City, OK 74604-7140 | 2019-04-25 |
| 1790271146 | Christina M Aday | Case Manager/Care Coordinator | 1805 N Woodland Rd, Ponca City, OK 74604-3546 | 2018-07-09 |
| 1659860138 | Billi Campbell | Case Manager/Care Coordinator | 220 N Lake St, Ponca City, OK 74601-4041 | 2018-05-09 |
| 1407345952 | Melanie Gartside | Case Manager/Care Coordinator | 1136 L A Cann Dr, Ponca City, OK 74604-5725 | 2018-05-09 |
| 1700373396 | Meaghan Nicole Jarvis | Case Manager/Care Coordinator | 925 N Elm St, Ponca City, OK 74601-3206 | 2018-04-18 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on DERRA BISHOP.
| 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.