MS. DIEDRA LEVI (NPI# 1629418769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629418769 |
| Entity Type | Individual |
| Full Name | MS. DIEDRA LEVI |
| Credential | B.A. |
| Practice Address |
1860 E 15th St Tulsa OK 74104-4611 |
| Mailing Address |
Po Box 46558 Little Rock AR 72214-6558 |
| Practice Telephone | 9189494430 |
| Practice Fax Number | 9189494431 |
| Mailing Telephone | 5016122599 |
| Mailing Fax Number | 8557925483 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
201819196 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1860 E 15TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157810 | Justin Churchill | Case Manager/Care Coordinator | 1860 E 15th St, Tulsa, OK 74104-4611 | 2020-05-29 |
| 1184252801 | Ignacio Murillo Aguilera | Case Manager/Care Coordinator | 1860 E 15th St, Tulsa, OK 74104-4611 | 2020-03-29 |
| 1780218099 | Jamie Weiland | Counselor | 1860 E 15th St, Tulsa, OK 74104-4611 | 2020-02-25 |
| 1457816704 | Mary Ann Waters-bilbo | Counselor | 1860 E 15th St, Tulsa, OK 74104-4611 | 2019-01-31 |
| 1376055327 | Han Ngoc Lam | Counselor | 1860 E 15th St, Tulsa, OK 74104-4611 | 2017-10-31 |
| 1457704793 | Jaron Lavell Shaw | Counselor | 1860 E 15th St, Tulsa, OK 74104-4611 | 2016-07-21 |
| 1710371984 | Stephanie Hunter | Case Manager/Care Coordinator | 1860 E 15th St, Tulsa, OK 74104-4611 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1053932905 | Suzanne Schneider | Counselor | 1507 E 21st St, Tulsa, OK 74114-1339 | 2020-05-01 |
| 1396371167 | Amy Lynn Herrold | Counselor | 8211 E Regal Pl, Tulsa, OK 74133-7167 | 2020-03-12 |
| 1033758453 | Anew Dawn Counseling Services LLC | Counselor | 2227 S Garnett Rd Ste 106, Tulsa, OK 74129-5115 | 2020-01-02 |
| 1679111231 | Shandeisha N Hay | Counselor | 6131 S Yorktown Ave Apt 1, Tulsa, OK 74136-0936 | 2019-12-13 |
| 1699320119 | Grace Oluloto | Counselor | 2740 E 41st St N, Tulsa, OK 74110-1432 | 2019-08-02 |
| 1467005900 | Courtney Gillespie | Counselor | 8810 S Yale Ave Ste K, Tulsa, OK 74137-3551 | 2019-07-23 |
| 1922660661 | Katherine Marie Nash | Counselor | 5072 S Toledo Ave Apt 23c, Tulsa, OK 74135-3350 | 2019-07-02 |
| 1205493590 | Wright Choice Counseling Services, LLC | Counselor | 6130 E 32nd St Ste 106, Tulsa, OK 74135-5454 | 2019-05-22 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on MS. DIEDRA LEVI.
| 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.