CRYSTAL BIRCHFIELD (NPI# 1558870287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558870287 |
| Entity Type | Individual |
| Full Name | CRYSTAL BIRCHFIELD |
| Practice Address |
1101 12th Ave Nw Ardmore OK 73401-5736 |
| Mailing Address |
4159 Miller Dr Kingston OK 73439 |
| Practice Telephone | 5807984523 |
| Mailing Telephone | 5805643820 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DRIVERS LICENCE | 071381109 | 01 |
| Street Address |
1101 12TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366477598 | Health and Rehab Clinic, P.C. | Physical Medicine & Rehabilitation | 1101 12th Ave Nw, Suite # 100, Ardmore, OK 73401-5736 | 2006-07-12 |
| 1487978540 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1101 12th Ave Nw, Ardmore, OK 73401-5736 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698487 | Tammy Cox | Peer Specialist | 2530 S Commerce St # B, Ardmore, OK 73401-5519 | 2020-01-20 |
| 1336793702 | Whitney Anderson | Peer Specialist | 719 Q St Sw, Ardmore, OK 73401-3516 | 2019-07-24 |
| 1235605817 | John Medwin Terry Jr. | Peer Specialist | 2428 Autumn Run Ste B, Ardmore, OK 73401-2222 | 2018-10-22 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1174123046 | Tonya R Collins | Peer Specialist | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2020-10-29 |
| 1467092882 | Megan Mccleary | Peer Specialist | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2020-01-14 |
| 1750865531 | Timothy Wayne Ramsey | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-09-18 |
| 1942719612 | Ashley Wallace | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2017-09-26 |
| 1174041297 | Larry Mcbride | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2017-09-08 |
| 1831615525 | Matthew Honeycutt | Peer Specialist | 2530 S Commerce St Bldg C, Ardmore, OK 73401-5519 | 2017-08-15 |
| Find all providers in ARDMORE | ||||
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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.