KRISTEN CLOUSE DNP, PMHNP-BC, LLC (NPI# 1699133520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699133520 |
| Entity Type | Organization |
| Organization Name | KRISTEN CLOUSE DNP, PMHNP-BC, LLC |
| Practice Address |
108 S Central Ave Idabel OK 74745-4848 |
| Practice Telephone | 5802082395 |
| Practice Fax Number | 5802082396 |
| Mailing Telephone | 5802082395 |
| Mailing Fax Number | 5802082396 |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2016-02-06 |
| Authorized Official Name | KRISTEN MICHELLE CLOUSE (AGENT) |
| Authorized Official Telephone | 5802082395 |
| Authorized Official Credential | APRN CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
99530 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
108 S CENTRAL AVE |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902278260 | Kristen Michelle Clouse | Nurse Practitioner | 108 S Central Ave, Idabel, OK 74745-4848 | 2015-10-27 |
| 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 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020643 | Jane M Harmon | Nurse Practitioner | 108 S Central Ave Ste 2, Idabel, OK 74745-4848 | 2006-08-17 |
| 1902278260 | Kristen Michelle Clouse | Nurse Practitioner | 108 S Central Ave, Idabel, OK 74745-4848 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1154976033 | Mindful Psychiatric Consulting LLC | Nurse Practitioner | 1700 Nw 174th St, Edmond, OK 73012-6963 | 2019-08-07 |
| 1811555154 | Pamela Jean Davies-jones | Nurse Practitioner | 3905 Brunswick Ln, Norman, OK 73072-1759 | 2019-06-02 |
| 1568920213 | Shannon Marie Rakowski | Nurse Practitioner | 2770 Washington Dr Ste 100, Norman, OK 73069-1016 | 2019-03-12 |
| 1346725595 | Elisabeth Mustachia | Nurse Practitioner | 600 W Boeing Dr, Ste D, Midwest City, OK 73110-3035 | 2018-10-03 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1881141000 | Elizabeth Muburi | Nurse Practitioner | 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112-4286 | 2016-09-06 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1649639550 | Jane M Harmon Dnp,rn,pmhnp-bc,pllc | Nurse Practitioner | 305 Dogwood Ct, Broken Bow, OK 74728-6118 | 2016-02-19 |
| 1902248123 | Satera Nicole Washington | Nurse Practitioner | 18308 Willow Oak Ln, Edmond, OK 73012-4042 | 2013-07-29 |
| Find all providers with the same taxonomy | ||||
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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.