SHEENA NIDIFFER (NPI# 1639654429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639654429 |
| Entity Type | Individual |
| Full Name | SHEENA NIDIFFER |
| Practice Address |
138 S. Main St Afton OK 74331 |
| Mailing Address |
138 S Main Afton OK 74331-1822 |
| Practice Telephone | 9182574244 |
| Mailing Telephone | 9182574244 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 513 S Miller St, Vinita, OK 743014616 | 9189443811 |
| Street Address |
138 S. MAIN ST |
| City | AFTON |
| State | OK |
| Zip Code | 74331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043441249 | Stacey Jameson | Counselor | 138 S. Main St, Afton, OK 74331-1822 | 2009-08-05 |
| 1093252439 | Russell Allen Peters | Nurse Practitioner | 138 S. Main St, Afton, OK 74331 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114575 | Tena Kennon | Technician | 54301 East 250 Road, Afton, OK 74331 | 2019-09-23 |
| 1376920660 | Dayspring Community Services | Community/Behavioral Health | 3 Southeast 1st St, Afton, OK 74331 | 2015-05-06 |
| 1578742383 | Chiropractic Associates of Miami | Clinic/Center | 30650 S. Lakeside Dr., Afton, OK 74331 | 2007-10-29 |
| 1174735088 | Integrity Emergency Medical Services of Oklahoma LLC | Ambulance | 104 Sw 1st Street, Afton, OK 74331 | 2007-05-04 |
| 1043371198 | Courtland Prentice Smith Jr. | Otolaryngology | 26300 South Hwy 125, Afton, OK 74331 | 2006-12-13 |
| 1710920152 | Debra Maxton Miller | Counselor | 138 S. Main, Afton, OK 74331 | 2006-06-14 |
| 1003397084 | Jaime Joseph Siegmann | Peer Specialist | 138 S Main St, Afton, OK 74331 | 2018-08-27 |
| 1730674508 | Caleigh Nichols | Social Worker | 138 S Main St, Afton, OK 74331 | 2018-06-25 |
| 1326539768 | Tim R Lucas | Peer Specialist | 138 S Main, Afton, OK 74331 | 2018-05-22 |
| 1043726607 | Rebecca Zinn | Peer Specialist | 138 S Main, Afton, OK 74331 | 2017-12-19 |
| Find all providers in zip 74331 | ||||
| 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 |
|---|---|---|---|---|
| 1639780935 | Mika Danette Riddle | Peer Specialist | 447254 E 240 Rd, Afton, OK 74331-8096 | 2020-08-11 |
| 1831568617 | Zachary Craig Kingfisher | Peer Specialist | 138 S Main St., Afton, OK 74331-1822 | 2015-09-22 |
| 1881062982 | Angela Bell | Peer Specialist | 24803 S Deer Valley Rd, Afton, OK 74331-6474 | 2015-09-04 |
| 1386115285 | Adam Christensen | Peer Specialist | 389 Adams St, Afton, WY 83110 | 2018-12-17 |
| 1003397084 | Jaime Joseph Siegmann | Peer Specialist | 138 S Main St, Afton, OK 74331 | 2018-08-27 |
| 1326539768 | Tim R Lucas | Peer Specialist | 138 S Main, Afton, OK 74331 | 2018-05-22 |
| 1619479664 | James Rufus Johnson | Peer Specialist | 138 S Main, Afton, OK 74331-1822 | 2018-03-06 |
| 1548760705 | Jamey Andrew Olson | Peer Specialist | 138 S. Main, Afton, OK 74331-1822 | 2018-02-14 |
| 1043726607 | Rebecca Zinn | Peer Specialist | 138 S Main, Afton, OK 74331 | 2017-12-19 |
| 1730611476 | Angela Marie Overstreet | Peer Specialist | 138 S Main, Afton, OK 74331 | 2017-03-31 |
| Find all providers in AFTON | ||||
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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.