JENNIFER A CRUZ (NPI# 1558728212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558728212 |
| Entity Type | Individual |
| Full Name | JENNIFER A CRUZ |
| Credential | APRN-CNP |
| Practice Address |
3000 N Grand Blvd Oklahoma City OK 73107-1818 |
| Mailing Address |
2513 Nw 158th St Edmond OK 73013-8870 |
| Practice Telephone | 4056326688 |
| Mailing Telephone | 4052457868 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
84659 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13682594 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Nw Expressway Ste 102, Oklahoma City, OK 731127200 | 4052130192 | 4054380988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356872287 | Jennifer Cruz | Specialist | 1402 W 4th St Apt A9, Brooklyn, NY 11204-4005 | 2017-03-22 |
| 1891150322 | Jennifer Cruz | Case Manager/Care Coordinator | 14940 85th St, Howard Beach, NY 11414-1201 | 2015-12-29 |
| 1457603896 | Jennifer Cruz | Speech-Language Pathologist | Street Esteban Ramos #82, Salinas, PR 00751 | 2012-10-10 |
| 1093012767 | Jennifer Nicole Cruz | Occupational Therapist | 1512 Cerro Vista Rd Sw, Albuquerque, NM 87105-3006 | 2011-02-16 |
| 1235397910 | Jennifer Cruz | Acupuncturist | 100 Nw 82nd Ave Ste 405, Plantation, FL 33324-1835 | 2008-05-29 |
| 1588201867 | Jennifer Cruz | Counselor | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2019-12-05 |
| 1881235984 | Jennifer L Cruz | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2019-10-01 |
| 1417507096 | Jennifer Cruz | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2019-09-16 |
| 1124686852 | Jennifer M Cruz | Behavior Technician | 275 W Natick Rd Ste 400, Warwick, RI 02886-1161 | 2019-05-29 |
| 1407311376 | Jennifer Cruz | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2019-02-05 |
| Street Address |
3000 N GRAND BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962741157 | Variety Care, Inc.c | Clinic/Center | 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 | 2013-02-07 |
| 1144884503 | Loyce Jeannette Redman | Counselor | 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 | 2019-04-30 |
| 1598213514 | Sharon J Martin | Nurse Practitioner | 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 | 2016-09-19 |
| 1376918268 | Zachry Deaton | Dietitian, Registered | 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 | 2015-12-03 |
| 1972947794 | Maria Lopez-davila | Obstetrics & Gynecology | 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
| 1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
| 1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
| 1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
| 1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
| 1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
| 1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
| 1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
| 1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
| 1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
Please comment or provide details below to improve the information on JENNIFER A CRUZ.
| 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.