LAUREN ELIZABETH DECKER (NPI# 1609418128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609418128 |
Entity Type | Individual |
Full Name | LAUREN ELIZABETH DECKER |
Practice Address |
11425 Se 59th St Oklahoma City OK 73150-4124 |
Practice Telephone | 4058867988 |
Mailing Telephone | 4058867988 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548617491 | Lauren Bernardo Decker | Dietitian, Registered | 3232 Mcnutt Ave, Walnut Creek, CA 94597-1833 | 2016-05-20 |
1366069874 | Lauren A. Decker | Behavior Technician | 3535 N Lombard St, Portland, OR 97217-5901 | 2020-06-30 |
1154889517 | Lauren Searcy Decker | Physician Assistant | 5018 Cahaba River Rd, Vestavia, AL 35243-2317 | 2019-03-05 |
1811427982 | Lauren Decker | Dentist | 443 12th Ave Ne, Norman, OK 73071-5241 | 2017-06-12 |
1194259929 | Lauren Decker | Nurse Practitioner | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2017-04-19 |
1649536756 | Lauren Decker | Pathology | University of New Mexico, Msc 07-4040, Albuquerque, NM 87131 | 2012-04-03 |
1205127792 | Lauren Elisabeth Decker | Dietitian, Registered | 2014 Washington St, Newton, MA 02462-1607 | 2011-05-02 |
Street Address |
11425 SE 59TH ST |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73150-4124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
1942281027 | Larry Todd Olsen | Orthopaedic Surgery | 3400 S Douglas Blvd, 302, Oklahoma City, OK 73150 | 2005-11-07 |
1437141793 | Paul L Preslar | Family Medicine | 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150 | 2005-08-22 |
1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
1235129099 | Richard D Hanes | Physician Assistant | 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 | 2005-10-24 |
1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
1811442197 | Ssm Health Care of Oklahoma, Inc | Pharmacy | 3400 S Douglas Blvd, Suite 100, Oklahoma City, OK 73150-1001 | 2016-08-17 |
Find all providers in zip 73150 |
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 |
---|---|---|---|---|
1861002818 | Keegan Eisenhardt | Peer Specialist | 6405 S Villa Ave, Oklahoma City, OK 73159-2741 | 2020-08-05 |
1689283780 | Gregory Purvis Jr. | Peer Specialist | 1305 Parkwoods Ct, Oklahoma City, OK 73110-7425 | 2020-07-24 |
1609485762 | Amanda Elaine Cruz | Peer Specialist | 1605 Nw 30th St Apt 228, Oklahoma City, OK 73118-3622 | 2020-07-24 |
1063021384 | Christina Len Petty | Peer Specialist | 2144 Nw 29th St, Oklahoma City, OK 73107-2526 | 2020-07-23 |
1104443977 | Jennifer Lynn Cobb | Peer Specialist | 2400 General Pershing Blvd Apt 308, Oklahoma City, OK 73107-6429 | 2020-06-28 |
1801412135 | Cleborn Gossett | Peer Specialist | 721 Waterview Rd, Oklahoma City, OK 73170-1637 | 2020-06-23 |
1487270617 | Foxy S Starnes | Peer Specialist | 9008 N Shannon Ave, Oklahoma City, OK 73132-1142 | 2020-06-23 |
1154945582 | Alexandra Paige Mcgowan-rayburn | Peer Specialist | 4129 Nw 21st St, Oklahoma City, OK 73107-2607 | 2020-06-01 |
1962034504 | Crystal Rose Mckee | Peer Specialist | 3417 S Independence Ave, Oklahoma City, OK 73119-2617 | 2020-02-11 |
1508496662 | Brie Jordan Florence | Peer Specialist | 2640 Sw 95th St, Oklahoma City, OK 73159-6720 | 2020-01-16 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73150 |
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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.