RODNEY LANE BACCUS (NPI# 1568662286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568662286 |
| Entity Type | Individual |
| Full Name | RODNEY LANE BACCUS |
| Credential | RN |
| Practice Address |
Rr 1 Box 3060 Clinton OK 73601-9303 |
| Practice Telephone | 5803232884 |
| Practice Fax Number | 5803231279 |
| Mailing Telephone | 5803232884 |
| Mailing Fax Number | 5803231279 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
0055301 | OK | Nursing Service Providers |
| Street Address |
RR 1 BOX 3060 |
| City | CLINTON |
| State | OK |
| Zip Code | 73601-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276601 | Pedro Juan Lopez | Internal Medicine | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2005-06-23 |
| 1457605347 | Michelle Marie Beshaw | Physician Assistant | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-10-31 |
| 1669737276 | Barbara Benally | Licensed Practical Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-07-10 |
| 1891050498 | Wanda Lanell Green | Licensed Practical Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-07-10 |
| 1730448838 | Dennis Austin Ward | Registered Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-05-09 |
| 1619253655 | Tiereny Witt | Dental Hygienist | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-10-21 |
| 1164700290 | Lydia Garvey | Registered Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-07-22 |
| 1750680765 | Us Public Health Service Indian Health | Clinic/Center | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-03-17 |
| 1124322433 | Angela Carin Cloud | Licensed Practical Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2010-12-29 |
| 1538479373 | Charlene Amelia Wassana | Registered Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2010-10-14 |
| Find all providers in the same location | ||||
| 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 Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053647362 | Angela Kim Hepler | Registered Nurse | 3927 Se 14th Pl, Del City, OK 73115-2229 | 2009-10-21 |
| 1184863565 | Susan Deann Priddy | Registered Nurse | 10500 Ok Highway 78 S, Milburn, OK 73450-0027 | 2009-02-09 |
| 1033354121 | Kari Kamay Harrison | Registered Nurse | 138 Freeny Valley Rd, Caddo, OK 74729-2607 | 2008-12-04 |
| 1275088635 | Samantha Kuplicki | Registered Nurse | 1809 E 13th St, Ste 400, Tulsa, OK 74104-4419 | 2016-08-15 |
Please comment or provide details below to improve the information on RODNEY LANE BACCUS.
| 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.