WARREN RIVERS (NPI# 1609224484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609224484 |
| Entity Type | Individual |
| Full Name | WARREN RIVERS |
| Practice Address |
602 W. Grand Avenue Bridgeway Inc Ponca City OK 74602-0883 |
| Mailing Address |
602 W Grand Avenue Bridgeway Ponca City OK 74601 |
| Practice Telephone | 5807621642 |
| Practice Fax Number | 5807657299 |
| Mailing Telephone | 5807621642 |
| Mailing Fax Number | 5807657299 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
200129920 | OK | Ambulatory Health Care Facilities |
| Street Address |
602 W. GRAND AVENUE BRIDGEWAY INC |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74602-0883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720188105 | Stephen R Snyder | Nurse Anesthetist, Certified Registered | 1900 N 14th, Ponca City, OK 74602 | 2006-09-25 |
| 1710087119 | Michael J Sullivan | Internal Medicine | 400 Fairview, Suite 19, Ponca City, OK 74602 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1679172951 | Children S Therapy Zone LLC | Occupational Therapy Assistant | 220 Village Cir, Ponca City, OK 74601-4021 | 2020-10-19 |
| 1952911018 | Amy Stangeland | Nurse Practitioner | 3001 Larchmont Ave, Ponca City, OK 74604-4432 | 2020-08-04 |
| 1447868849 | Cammie Ladawn Wyckoff | Registered Nurse | 1500 Cookson Dr, Ponca City, OK 74604-4109 | 2020-07-21 |
| 1952929515 | Tasha Shea Smith | Registered Nurse | 2225 N. Union, Ponca City, OK 74601-1536 | 2020-07-10 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1891328274 | Ponca City Dental Group Pllc | Dentist | 1216 E Hartford Ave Ste 1a, Ponca City, OK 74601-2059 | 2020-02-13 |
| Find all providers in PONCA CITY | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851415673 | Cimarron Valley Therapeutic Services, Inc. | Clinic/Center | 205 W Hartford Ave, Ponca City, OK 74601-1547 | 2007-03-19 |
| 1043842370 | Grand Lake Mental Health Center Inc | Clinic/Center | 2225 N Union St., Ponca City, OK 74601-7460 | 2020-02-05 |
| 1851931794 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-01-08 |
| 1447812029 | Creoks Behavioral Health Services | Clinic/Center | 1500 N 6th St, Ponca City, OK 74601-2827 | 2019-07-03 |
| 1306394788 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 110 N 4th St, Ponca City, OK 74601-4527 | 2016-09-14 |
| 1821403643 | Healing Heart and Mind Counseling, LLC | Clinic/Center | 222 E Grand Ave, Suite 300, Ponca City, OK 74601-4316 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | PONCA CITY |
| Zip Code | 74602 |
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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.