DENISE LYN ELY


Address: 12 E 12th St, Tulsa, OK 74119-2803
Phone: 9185851213

DENISE LYN ELY (NPI# 1669099875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669099875
Entity Type Individual
Full Name DENISE LYN ELY
Practice Address 12 E 12th St
Tulsa
OK 74119-2803
Practice Telephone 9185851213
Mailing Telephone 9185851213
Enumeration Date 2020-07-03
Last Update Date 2020-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 12 E 12TH ST
City TULSA
State OK
Zip Code 74119-2803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760098636 Dana Rogers-browning Homemaker 12 E 12th St, Tulsa, OK 74119-2803 2020-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518413848 Rashawnda Eshelle Broom Community Health Worker 1870 S. Boulder, Tulsa, OK 74119 2016-08-28
1740736115 Kendrea Zellers Counselor 1516 South Boston Ave, Tulsa, OK 74119 2016-08-26
1528410297 Andrea Cheree Walker Counselor 1541 Riverside Drive, Tulsa, OK 74119 2016-07-06
1851712459 Bennett William Mcralip Jr. Student in an Organized Health Care Education/Training Program 1729 S. Baltimore Ave, Tulsa, OK 74119 2013-12-27
1932459302 Isaac James Almaguer Marriage & Family Therapist 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 2012-09-13
1962721266 Kimberly Dawn See Counselor 1516 South Boston Avenue, Tulsa, OK 74119 2010-05-26
1487879136 G.thang Khan Kham Counselor 616 S.boston Suite #400, Tulsa, OK 74119 2007-04-16
1114447117 Alyssa Orcutt Counselor 1870 S Boulder Ave, Tulsa, OK 74119 2017-06-21
1497152615 Kristine Anne Runfola Social Worker 1608 S Elwood Ave, Tulsa, OK 74119 2014-12-03
1124445028 Lauren Priester Counselor 1421 S Boston Ave, Tulsa, OK 74119 2014-03-28
Find all providers in zip 74119

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1790305175 Misti Rogers Peer Specialist 6120 S Madison Pl Apt B, Tulsa, OK 74136-1375 2020-04-25
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74119

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Dataset Information

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.

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