LUCRETIA FAY MCDONALD (NPI# 1699054841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699054841 |
| Entity Type | Individual |
| Full Name | LUCRETIA FAY MCDONALD |
| Practice Address |
104 Ne Ave A Idabel OK 74745-3813 |
| Mailing Address |
Rr 2 Box 229-1 Idabel OK 74745-9427 |
| Practice Telephone | 5802863301 |
| Practice Fax Number | 5802866385 |
| Mailing Telephone | 5802127610 |
| Mailing Fax Number | 5802866385 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
104 NE AVE A |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1457810202 | Willliam Lee Pitts | Counselor | 104 Ne Ave A, Idabel, OK 74745-3813 | 2019-03-19 |
| 1467990721 | Kiamichi Council On Alcohoism and Other Drug Abuse Inc. | Case Management | 104 Ne Ave A, Idabel, OK 74745 | 2017-02-07 |
| 1912445743 | Dawn Michelle Allen | Counselor | 104 Ne Ave A, Idabel, OK 74745-3813 | 2017-01-31 |
| 1912206988 | Cecil Osterdock | Counselor | 104 Ne Ave A, Idabel, OK 74745-3813 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| 1831304922 | Terry Eugene Wallace | Counselor | 104 Ne Avenue A, Idabel, OK 74745 | 2007-05-11 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629204664 | Jeffrey D Leforce | Counselor | 605 Se Washington St, Idabel, OK 74745-3319 | 2009-06-04 |
| 1295910685 | Sandi Moore | Counselor | 209 Se Ave N, Idabel, OK 74745-5728 | 2008-01-03 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1831304922 | Terry Eugene Wallace | Counselor | 104 Ne Avenue A, Idabel, OK 74745 | 2007-05-11 |
| 1184743502 | Dennis Dale Whitten | Counselor | 104 N.e. Avenue A, Idabel, OK 74745 | 2007-03-28 |
| 1295355840 | Millennium Medical Services, L.L.C. | Counselor | 503 S Central Ave, Idabel, OK 74745-6061 | 2020-04-23 |
| 1457810202 | Willliam Lee Pitts | Counselor | 104 Ne Ave A, Idabel, OK 74745-3813 | 2019-03-19 |
| 1912445743 | Dawn Michelle Allen | Counselor | 104 Ne Ave A, Idabel, OK 74745-3813 | 2017-01-31 |
| 1912206988 | Cecil Osterdock | Counselor | 104 Ne Ave A, Idabel, OK 74745-3813 | 2011-03-16 |
| 1134324353 | Derrel Levy | Counselor | 411 S Central Ave, Idabel, OK 74745-6059 | 2007-06-18 |
| Find all providers in IDABEL | ||||
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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.