SYLVESTER HARRIS III


Address: 23 E Ross Ave, Sapulpa, OK 74066-6423
Phone: 9182272016

SYLVESTER HARRIS III (NPI# 1578161881) 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) 1578161881
Entity Type Individual
Full Name SYLVESTER HARRIS III
Practice Address 23 E Ross Ave
Sapulpa
OK 74066-6423
Mailing Address 8001 S Mingo Rd Apt 3901
Tulsa
OK 74133-0856
Practice Telephone 9182272016
Mailing Telephone 9033723202
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist OK Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
23 E Ross Ave, Sapulpa, OK 740666423 9182272016

Office Location

Street Address 23 E ROSS AVE
City SAPULPA
State OK
Zip Code 74066-6423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770572091 Stacy Spears Nurse Practitioner 23 E Ross Ave, Sapulpa, OK 74066-6423 2005-10-19
1770181356 Amber Baldwin Counselor 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-10-15
1366055014 Amanda Williams Case Manager/Care Coordinator 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-08-24
1861003618 Precious D Miller Case Manager/Care Coordinator 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-08-14
1487263778 Melinda Vansandt Registered Nurse 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-07-23
1700404449 Jeremy John Myers Case Manager/Care Coordinator 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-07-09
1336763945 Jordan Patty Peer Specialist 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-05-31
1720612799 Tracy R Smith Registered Nurse 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-02-27
1841824364 Rebecca Gray Peer Specialist 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-02-24
1366074551 Shelley Tummons Licensed Practical Nurse 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263541 Brice Schroeder Chapa Pharmacist 11 W Taft, Sapulpa, OK 74066 2020-04-07
1902457179 Kimberly Vandygriff Technician 1115 East Davis Avenue, Sapulpa, OK 74066 2019-09-27
1346717063 Carla Kay Pilkington Pharmacist 1329 South Main St, Unit C, Sapulpa, OK 74066 2018-10-31
1669964433 Kindful Hospice Sapulpa Tulsa, LLC Hospice Care, Community Based 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 2018-06-06
1922492081 Optimum Laboratory Services, LLC Clinical Medical Laboratory 303 East Taft Street, Suite 4, Sapulpa, OK 74066 2015-03-26
1568863371 Duncan Ornelas Case Manager/Care Coordinator 23 Ross Ave., Sapulpa, OK 74066 2014-09-11
1104244417 Carmisha Harper Counselor 23th E. Ross Ave., Sapulpa, OK 74066 2014-04-03
1699118521 Creek Nation Health Student in an Organized Health Care Education/Training Program 1943 South Water, Sapulpa, OK 74066 2013-04-10
1487990438 Insight Eyecare Pllc Optometrist 12140 S Waco Ave, Sapulpa, OK 74066 2012-12-19
1770847733 Tabitha Sparks Social Worker 23 N. Main Street, Sapulpa, OK 74066 2012-06-25
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184094468 Amy Bina Peer Specialist 1802 S Ridgeway St, Sapulpa, OK 74066-6550 2015-09-30
1336763945 Jordan Patty Peer Specialist 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-05-31
1841824364 Rebecca Gray Peer Specialist 23 E Ross Ave, Sapulpa, OK 74066-6423 2020-02-24
1265064323 David J Jones Peer Specialist 2 N Water St, Sapulpa, OK 74066-2816 2020-02-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659972537 Tamra Lynn Cunningham Peer Specialist 764 Sherwin Ave, Ponca City, OK 74604-6112 2020-11-05
1699375691 Martha Isabel Zapata Peer Specialist 5740 E 72nd Ct, Tulsa, OK 74136-7202 2020-10-28
1376143883 Tina Marie Lopez Peer Specialist 933 N Oak St, Ponca City, OK 74601-3218 2020-10-26
1518566264 Vincent Oaks Cox Peer Specialist 3585 S 439, Pryor, OK 74361-9346 2020-10-23
1558960146 Sarah Elizabeth Walters Peer Specialist 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 2020-10-23
1861091548 Ryan Vanmeter Peer Specialist 1965 Ladera Ln, Edmond, OK 73034-9787 2020-10-22
1255930038 Brandon Loyd Hopkins Peer Specialist 446 S Scraper St, Vinita, OK 74301-4250 2020-10-22
1225637366 Crystal Dawn Adams Peer Specialist 200 N Sante Fe Ave, Bartlesville, OK 74003 2020-10-20
1194324491 Judith Anne Young Peer Specialist 3934 Se 27th St, Del City, OK 73115-2620 2020-10-19
1407455892 Kristen Michelle Stock Peer Specialist 804 N Dryden Cir, Stillwater, OK 74075-7108 2020-10-18
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Competitor

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City SAPULPA
Zip Code 74066

Improve Information

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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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