DR. LATISHA LYNN BADER (NPI# 1669786208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669786208 |
Entity Type | Individual |
Full Name | DR. LATISHA LYNN BADER |
Other Name | DR. LATISHA LYNN BRADDOCK |
Credential | PH.D. |
Practice Address |
2307 S Gordon Cooper Dr Shawnee OK 74801-9007 |
Practice Telephone | 4052735236 |
Practice Fax Number | 4052734345 |
Mailing Telephone | 4052735236 |
Mailing Fax Number | 4052734345 |
Enumeration Date | 2010-08-05 |
Last Update Date | 2010-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
1085 | OK | Behavioral Health & Social Service Providers |
Street Address |
2307 S GORDON COOPER DR |
City | SHAWNEE |
State | OK |
Zip Code | 74801-9007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871571901 | Carrie Ann Wood | Internal Medicine | 2307 S Gordon Cooper Dr, Shawnee, OK 74801 | 2006-01-09 |
1952678518 | Dana Marie Kelley | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2011-11-28 |
1326348095 | Tina Louise Ferguson | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-10-28 |
1528375359 | Betty Jane Nicholson | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-08-31 |
1598954695 | Christia Ann Hallinan | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-10-15 |
1932396470 | Lielani M Tull | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-28 |
1962699884 | Samantha Rae Manion | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-25 |
1952597833 | Amanda Kaylene Felkner | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-24 |
1104012301 | Aubre Ann Reed | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-20 |
1417159690 | Ray Tainpeah | Counselor | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
Find all providers in zip 74801 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700204930 | Robert Pedroza | Psychologist | 5100 Quivira Rd, Shawnee, KS 66216-1349 | 2014-04-04 |
1740417179 | Curtis G. Gilley | Psychologist | 41 Pam Dr, Shawnee, OK 74804-3313 | 2009-06-11 |
1467707430 | Karen Anne Hynes | Psychologist | 504 N Broadway Ave, Shawnee, OK 74801-6927 | 2012-07-17 |
1942325816 | Aileen Paula Utley | Psychologist | 7255 Renner Rd, Shawnee, KS 66217-3043 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267965 | Oklahoma Counseling Professionals | Psychologist | 2123 Sw 119th St Ste B, Oklahoma City, OK 73170-3440 | 2019-10-23 |
1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
1386096659 | Thomas Collins | Psychologist | 333 W Michael Dr, Midwest City, OK 73110-3319 | 2016-07-11 |
1164887170 | Suzan B. Simmons, Ph.d,,pllc | Psychologist | 1916 Lake Rd, Ponca City, OK 74604-4800 | 2015-12-17 |
1760882807 | Janet Marie Mcmahan | Psychologist | 53479 Cut Off Rd, Talihina, OK 74571-2371 | 2014-08-26 |
1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
1235556911 | Christopher Bowles | Psychologist | 1613 King Dr, Apartment 721, Bartlesville, OK 74006-4939 | 2014-03-19 |
1497187215 | Diane Yvonne Genther | Psychologist | 100 N University Dr., 402, Uco Student Counseling, Nigh University Center, Edmond, OK 73034-5209 | 2013-08-02 |
1861839367 | Candace Dawn Marzett | Psychologist | 2213 N Zenith Ave, Tulsa, OK 74127-2234 | 2013-05-24 |
1700126588 | Margaret Lee Zingman | Psychologist | 204 W 8th St, Chandler, OK 74834-2604 | 2013-02-15 |
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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.