TAWNY RENEE SHEPPARD (NPI# 1639653223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639653223 |
| Entity Type | Individual |
| Full Name | TAWNY RENEE SHEPPARD |
| Practice Address |
3015 E Skelly Dr Ste 103 Tulsa OK 74105-6344 |
| Practice Telephone | 9187120859 |
| Mailing Telephone | 9187120859 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 43-1236557 | 05 |
| Street Address |
3015 E SKELLY DR STE 103 |
| City | TULSA |
| State | OK |
| Zip Code | 74105-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538348602 | Erica Danielle Donaldson | Counselor | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2007-10-25 |
| 1871145961 | Tsogtbaatar Baatar | Counselor | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2019-07-10 |
| 1023660222 | Hailey Walsh | Counselor | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2019-07-09 |
| 1063970895 | Jessica Erin Ward | Counselor | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2019-03-11 |
| 1235613365 | Elizabeth Kregenow | Social Worker | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2018-09-25 |
| 1972082279 | Christie Loeffler | Case Manager/Care Coordinator | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2018-08-08 |
| 1871070730 | Tricia Hoosier | Peer Specialist | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2018-07-24 |
| 1528557725 | Irma Gerling | Peer Specialist | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2018-05-03 |
| 1245728377 | Ryan Patrick Boyls | Counselor | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2018-04-24 |
| 1073000725 | Whitney Diane Larkin | Registered Nurse | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| 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 |
|---|---|---|---|---|
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1275131823 | Deena June Patrick | Peer Specialist | 2536 N Boston Ave, Tulsa, OK 74106-3609 | 2020-10-15 |
| 1760098248 | Eddie L Rodriguez | Peer Specialist | 3821 S Rolling Oaks Dr, Tulsa, OK 74107-4872 | 2020-09-20 |
| 1316553100 | Amber Ponder | Peer Specialist | 7802 W 7th St, Tulsa, OK 74127-5524 | 2020-09-17 |
| 1699380089 | Sunny Shirene Cooper | Peer Specialist | 9933 E 61st St, Tulsa, OK 74133-1504 | 2020-09-11 |
| 1669099875 | Denise Lyn Ely | Peer Specialist | 12 E 12th St, Tulsa, OK 74119-2803 | 2020-07-03 |
| 1831715945 | Kyndell Leigh Mcelwee | Peer Specialist | 5043 S 76th East Ave Apt B, Tulsa, OK 74145-6219 | 2020-06-24 |
| 1548886088 | Dana Kai Stevens | Peer Specialist | 2027 E 12th Pl, Tulsa, OK 74104-4201 | 2020-06-21 |
| 1932723251 | Andrew Jacob Sargent | Peer Specialist | 321 S Frankfort Ave, Tulsa, OK 74120-2428 | 2020-06-02 |
| 1114549656 | Jonathan Michael Holbrook | Peer Specialist | 6963 E 15th Pl Apt 239, Tulsa, OK 74112-7410 | 2020-05-06 |
| Find all providers in TULSA | ||||
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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.