JENNIFER LEE KING (NPI# 1629632161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629632161 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE KING |
| Practice Address |
9432 Nw 88th St Yukon OK 73099-9290 |
| Practice Telephone | 9093659451 |
| Mailing Telephone | 9093659451 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| 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 |
|---|---|---|---|---|
| 1780294793 | Jennifer Lake King | Nurse Practitioner | 1016 S Joshua Ave, Parker, AZ 85344-5057 | 2020-08-04 |
| 1679114623 | Jennifer King | Technician | 2332 Sw 42nd St, Oklahoma City, OK 73119-3522 | 2019-10-01 |
| 1588121305 | Jennifer Ervine King | Nurse Practitioner | 1920 Ebenezer Rd, Rock Hill, SC 29732-1014 | 2019-02-28 |
| 1538633052 | Jennifer Rose King | Licensed Practical Nurse | 162 3rd St, Rochester, NY 14605-2445 | 2019-01-17 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1902273410 | Jennifer B King | Counselor | 3581 Ga Highway 300, Oakfield, GA 31772-1826 | 2015-09-01 |
| 1265817498 | Jennifer King | Occupational Therapy Assistant | 1210 W Colorado St, Walters, OK 73572-1018 | 2015-07-29 |
| 1548642937 | Jennifer Bohnert King | Occupational Therapist | 225 Abraham Flexner Way Ste 650, Louisville, KY 40202-1888 | 2015-06-23 |
| 1669892543 | Jennifer Jane King | Licensed Practical Nurse | 4779 Highridge Ave, Cincinnati, OH 45238-4528 | 2014-04-18 |
| 1710259239 | Jennifer Lyn King | Doula | 1101 Walters Dr, Granbury, TX 76048-2349 | 2012-01-30 |
| Street Address |
9432 NW 88TH ST |
| City | YUKON |
| State | OK |
| Zip Code | 73099-9290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| 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 |
|---|---|---|---|---|
| 1427615418 | Alessandra Morgan Kelly | Peer Specialist | 7501 Meadow Lake Dr, Yukon, OK 73099-9796 | 2019-05-24 |
| 1316464274 | Michael Paul Hiltzman | Peer Specialist | 738 Ranchoak Dr, Yukon, OK 73099-4220 | 2017-08-23 |
| 1871969675 | Michael Smith | Peer Specialist | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2015-08-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.