JESSICA DEPPEN (NPI# 1659774131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659774131 |
| Entity Type | Individual |
| Full Name | JESSICA DEPPEN |
| Credential | APRN |
| Practice Address |
507 Ne 12th St Moore OK 73160-5807 |
| Practice Telephone | 4052379955 |
| Practice Fax Number | 4052375136 |
| Mailing Telephone | 4052379955 |
| Mailing Fax Number | 4052375136 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
91728 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4334 Nw Expressway Ste 175, Oklahoma City, OK 731161574 | 4055571200 | 4055571977 |
| Street Address |
507 NE 12TH ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073696605 | Kenneth Demasters | Physician Assistant | 507 Ne 12th St, Moore, OK 73160-5807 | 2006-10-24 |
| 1477194199 | Darren Elenburg Dpm PC | Podiatrist | 507 Ne 12th St, Moore, OK 73160-5807 | 2019-10-03 |
| 1871069724 | Teisha Alynn Gallegly | Family Medicine | 507 Ne 12th St, Moore, OK 73160-5807 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729504 | Christopher R Stepp | Nurse Practitioner | 612 Madeline Ln, Moore, OK 73160-0003 | 2020-08-08 |
| 1821627167 | Lauren D'ann Clark | Nurse Practitioner | 3305 Red Maple Ln, Moore, OK 73170-1025 | 2020-04-08 |
| 1598324642 | Alexandria Nicole Martin | Nurse Practitioner | 705 Wall Cir, Moore, OK 73160-1940 | 2019-06-12 |
| 1518439991 | Alysia Mcdaniel | Nurse Practitioner | 9208 Winfield Ln, Moore, OK 73160-9161 | 2018-12-22 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1124512322 | Fulcrum Clinic LLC | Nurse Practitioner | 1025 Sw 4th St Ste 204, Moore, OK 73160-2404 | 2018-06-20 |
| 1174034565 | Anthony Eugene Johnson | Nurse Practitioner | 905 Sw 38th St, Moore, OK 73160-9409 | 2017-10-12 |
| 1356892921 | Roy Slootheer | Nurse Practitioner | 1308 River Birch Run, Moore, OK 73160-1378 | 2016-10-19 |
| 1649639279 | Valerie Bell | Nurse Practitioner | 110 Kimberling Dr, Moore, OK 73160-4629 | 2016-02-10 |
| 1609281658 | Carol Leigh Hagan | Nurse Practitioner | 13316 S Western Ave Ste M, Moore, OK 73170-7310 | 2014-06-29 |
| Find all providers in MOORE | ||||
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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.