MRS. LORI ELIZABETH MEDINA (NPI# 1689909574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689909574 |
| Entity Type | Individual |
| Full Name | MRS. LORI ELIZABETH MEDINA |
| Credential | LMSW |
| Practice Address |
17091 S. Muskogee Tahlequah OK 74465-4405 |
| Mailing Address |
21141 S Forrest Dr Tahlequah OK 74464-7404 |
| Practice Telephone | 9184586986 |
| Practice Fax Number | 9184580499 |
| Mailing Telephone | 9182070810 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3261 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720423528 | Lori M Medina | Occupational Therapy Assistant | 6841 Ivy St, Commerce City, CO 80022-2539 | 2013-05-07 |
| Street Address |
17091 S. MUSKOGEE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74465-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780939223 | Jack Brown Treatment Center | Substance Abuse Rehabilitation Facility | 17091 S Muskogee Ave, Tahlequah, OK 74465 | 2012-07-20 |
| 1437396850 | Jack Brown Center | Substance Abuse Rehabilitation Facility | 17091 South Muskogee Avenue, Tahlequah, OK 74465 | 2009-01-08 |
| 1821287962 | Cornerstone Home Health Care | Home Health | 1699 West Fourth Street, Tahlequah, OK 74465 | 2007-10-15 |
| 1144414764 | Adam Carroll Cothran | Social Worker | 17675 S. Muskogee Ave., Tahlequah, OK 74465 | 2007-08-28 |
| 1194895441 | Eeg Corporation | Psychiatry & Neurology | 1400 E Downing, Tahlequah, OK 74465 | 2006-11-08 |
| 1700951050 | Harold Earl Goldman | Pediatrics | 1400 E Downing, Tahlequah, OK 74465 | 2006-11-22 |
| 1609123892 | Sonya Davidson | Counselor | 17091 S Muskogee Ave, Tahlequah, OK 74465-0000 | 2012-08-07 |
| 1508987959 | State of Oklahoma; Dba:bill Willis Community Mental Health Center | Clinic/Center | 1400 S. Hensley Dr, Tahlequah, OK 74465-0558 | 2007-04-03 |
| 1386914646 | Debra Lee Johnson | Case Manager/Care Coordinator | 17091 South Muskogee Avenue, Cherokee Nation, Tahlequah, OK 74465-0948 | 2012-01-04 |
| 1770937229 | Talking Leaves Job Corps | Psychologist | 5700 Bald Hill Road, Tahlequah, OK 74465-1066 | 2016-04-21 |
| Find all providers in zip 74465 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919209 | Gladys Paola Guthrie | Counselor | 1205 S Ross Ave, Tahlequah, OK 74464-7323 | 2019-08-27 |
| 1568931558 | Ashley N Canoe | Counselor | 1332 E Allen Rd Apt 4, Tahlequah, OK 74464-2250 | 2018-11-19 |
| 1437625654 | Oklahoma United Methodist Circle of Care | Counselor | 549 Mathis Park Dr, Tahlequah, OK 74464-6820 | 2018-10-15 |
| 1528511508 | Chana Watts | Counselor | 1312 Jackson Ave, Tahlequah, OK 74464-6624 | 2016-07-26 |
| 1376954438 | Deboraugh De Ann Allen | Counselor | 24332 E 757 Rd, Tahlequah, OK 74464-1949 | 2014-05-12 |
| 1295157774 | Blake Lundry | Counselor | 3475 Southridge Pl, Unit 7, Tahlequah, OK 74464-7912 | 2014-01-17 |
| 1598194656 | Lois Fuller | Counselor | 14857 N Tyler St, Tahlequah, OK 74464-1078 | 2013-11-08 |
| 1821427295 | Brenda Joe Teehee | Counselor | 25719 S Pin Oak Dr, Tahlequah, OK 74464-1473 | 2013-11-06 |
| 1023355591 | Chad Alvin Harp | Counselor | 505 Talley St, Tahlequah, OK 74464-6335 | 2013-01-03 |
| 1316283245 | Jim Lee Trammell | Counselor | 113 W. Shawnee St, Tahlequah, OK 74464 | 2012-12-20 |
| Find all providers in TAHLEQUAH | ||||
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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.