LISA LAUDERDALE (NPI# 1679724363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679724363 |
| Entity Type | Individual |
| Full Name | LISA LAUDERDALE |
| Practice Address |
24797 S Hwy 66 Suite 5 Claremore OK 74019-2411 |
| Mailing Address |
20404 E 410 Road Chelsea OK 74016 |
| Practice Telephone | 9183422080 |
| Practice Fax Number | 9183420075 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2012-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326349549 | Lisa A Lauderdale | Pharmacist | 409 North Hwy 102, Mcloud, OK 74851 | 2010-11-04 |
| 1043551328 | Lisa Marie Lauderdale | Nurse Practitioner | 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695-6602 | 2013-03-11 |
| Street Address |
24797 S HWY 66 SUITE 5 |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74019-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881907285 | Kimberly Marie Hohensee | Counselor | 24797 S Hwy 66, Suite 5, Claremore, OK 74019-2411 | 2010-07-14 |
| 1679897201 | Stephen Riley | Counselor | 24797 S Hwy 66, Suite 5, Claremore, OK 74019-2411 | 2010-03-25 |
| 1447574876 | Andrea Noel Lambe | Counselor | 24797 S Hwy 66, Unit 5, Claremore, OK 74019-2411 | 2010-03-14 |
| 1538481130 | Jessica Lee Yadon | Case Manager/Care Coordinator | 24797 S Hwy 66, Suite 5, Claremore, OK 74019-2411 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1346890431 | Cymonne Williamson | Behavior Technician | 24797 Ok-99 #5, Claremore, OK 74019 | 2019-09-19 |
| 1679038996 | Louella Spottedwolf | Registered Nurse | Claremore Indian Hospital, 101 S. Moore Avenue, Claremore, OK 74019 | 2019-02-01 |
| 1225537277 | Elizabeth Aurelia Weilert | Nurse Practitioner | 24764 S 4090 Rd, Claremore, OK 74019 | 2018-02-06 |
| 1053789537 | Timothy Ahearn | Counselor | 24572 Humphries Circle, Claremore, OK 74019 | 2015-09-14 |
| 1699181628 | Julie D Stone | Speech-Language Pathologist | 25547 Blackberry Blvd, Claremore, OK 74019 | 2014-07-10 |
| 1871913889 | Okc Dental Health Associates, P.C. | Dentist | 2000 S Highway 66, Suite A Market Square, Claremore, OK 74019 | 2014-04-17 |
| 1265878706 | Kalee Goodman | Behavioral Analyst | 24794 S. Hwy 66, Suite 5, Claremore, OK 74019 | 2013-05-10 |
| 1710257324 | Deborah Anne Skinstad | Rehabilitation Counselor | 24797 S. Hwy 66, Suite 5, Claremore, OK 74019 | 2012-01-12 |
| 1770893372 | Jerry Dean Mckenzie | Personal Emergency Response Attendant | 7425 E Hwy 266, Claremore, OK 74019 | 2010-10-15 |
| Find all providers in zip 74019 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952834079 | Jordan Scott | Counselor | 1400 W Blue Starr Dr, Apt C1, Claremore, OK 74017-2431 | 2017-04-05 |
| 1326429598 | Foundations Behavioral Health, LLC | Counselor | 1218 N Florence Ave Ste B, Claremore, OK 74017-3755 | 2015-06-14 |
| 1619304961 | Tonya L. Christian | Counselor | 12500 E 470 Road, Claremore, OK 74017-0770 | 2013-10-01 |
| 1679815815 | John S Cochran | Counselor | 22510 S Honeycreek Ln, Claremore, OK 74019-5780 | 2013-03-26 |
| 1780904318 | Candice Michelle Purcell | Counselor | 1222 N Florence Ave Ste A, Claremore, OK 74017-4294 | 2010-06-05 |
| 1316275076 | Regina East | Counselor | 1222 S Florence Ave, #d, Claremore, OK 74017 | 2009-11-18 |
| 1972839819 | Susanne Adams | Counselor | 12005 E. 470 Rd., Rogers County Clinic, Claremore, OK 74017-3717 | 2009-10-28 |
| 1811163785 | William Steele | Counselor | 9452 E Cherrywood Dr, Claremore, OK 74019-5160 | 2008-05-01 |
| 1366614950 | Rebecca L Garoutte | Counselor | 12005 E470 Road, Claremore, OK 74017 | 2008-03-24 |
| 1548477193 | Elizabeth Whipkey | Counselor | 24797 S Highway 66, Suite 5, Claremore, OK 74019-2411 | 2007-05-16 |
| Find all providers in CLAREMORE | ||||
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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.