BRONWEN GUTZWILLER (NPI# 1669860763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669860763 |
| Entity Type | Individual |
| Full Name | BRONWEN GUTZWILLER |
| Practice Address |
1202 Sw A Ave Lawton OK 73501-3821 |
| Practice Telephone | 5803578181 |
| Mailing Telephone | 5803578181 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1669860763 | 05 |
| Street Address |
1202 SW A AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467470310 | Roadback Incorporated | Substance Abuse Rehabilitation Facility | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2006-07-18 |
| 1366052532 | Avery Allen Beaty | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2020-08-03 |
| 1205446531 | Debra Young Dunham | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2020-08-02 |
| 1760832133 | Julie Connally | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2016-06-16 |
| 1639595473 | Coldelia White | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2014-03-17 |
| 1083044580 | Candace Jones | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-11-19 |
| 1942639901 | Heather Hennessey | Substance Abuse Rehabilitation Facility | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-11-09 |
| 1619215746 | Shannon Lynn Scholtz | Counselor | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-01-24 |
| 1538414065 | Michael W Rigsby | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2012-07-20 |
| 1821352931 | Chance S Napoleon | Social Worker | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949123 | Shahbaz Ahmad Afzal | Student in an Organized Health Care Education/Training Program | 7108 Sw Angelwood Dr, Lawton, OK 73505-9613 | 2020-04-01 |
| 1043723257 | Caitlin Cunningham | Student in an Organized Health Care Education/Training Program | 421 Nw 69th St, Lawton, OK 73505-5403 | 2017-11-09 |
| 1831602044 | Brittany Diane Meredith | Student in an Organized Health Care Education/Training Program | 4001 Century Oaks Ln, Lawton, OK 73505-5066 | 2017-11-09 |
| 1023547510 | Courtney Hill | Student in an Organized Health Care Education/Training Program | 5404 Sw Lee Blvd Ste 101, Lawton, OK 73505-9697 | 2017-06-08 |
| 1831587419 | Katheryn Caffee | Student in an Organized Health Care Education/Training Program | 326 Ne Abshere Rd, Lawton, OK 73507-5825 | 2015-01-05 |
| 1700490570 | Kristen Renee Molloy | Student in an Organized Health Care Education/Training Program | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2020-08-31 |
| 1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
| 1679195614 | Kennan Dale Richards | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-13 |
| 1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
| 1902427404 | Christopher Raul Fernandez | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-06 |
| Find all providers in LAWTON | ||||
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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.