MELISSA BLACKBIRD (NPI# 1699140004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699140004 |
Entity Type | Individual |
Full Name | MELISSA BLACKBIRD |
Practice Address |
499 W Boundry Kansas OK 74347-1662 |
Mailing Address |
Po Box 196 207 W Main Kansas OK 74347-0196 |
Practice Telephone | 9188682567 |
Practice Fax Number | 9188685584 |
Mailing Telephone | 9188682567 |
Mailing Fax Number | 9188685584 |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251300000X | Local Education Agency (LEA) | 48776 | OK | Agencies |
Y | 251300000X | Local Education Agency (LEA) | Agencies |
Street Address |
499 W BOUNDRY |
City | KANSAS |
State | OK |
Zip Code | 74347-1662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760861355 | Pamela Snell | Local Education Agency (LEA) | 499 W Boundry, 210 E. Vaughan St., Kansas, OK 74347-1662 | 2015-05-28 |
1548633373 | Kimberly Dry | Local Education Agency (LEA) | 499 W Boundry, Kansas, OK 74347-1662 | 2015-11-02 |
1932571957 | Stephanie Daugherty | Local Education Agency (LEA) | 499 W Boundry, Kansas, OK 74347-1662 | 2015-10-29 |
1295103760 | Michelle Taylor | Local Education Agency (LEA) | 499 W Boundry, Kansas, OK 74347-1662 | 2015-09-14 |
1265813695 | Leslie Gregory | Speech-Language Pathologist | 499 W Boundry, 275 W. Main, Kansas, OK 74347-1662 | 2015-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801313564 | Discover Well-beings, Pllc | Family Medicine | Crossroads Wellness Center, 1107 E Carlton Ln, Kansas, OK 74347 | 2017-08-24 |
1528428810 | Katherine Singleton | Counselor | 207 N. Highway 59 Suite 1, Kansas, OK 74347 | 2016-02-29 |
1669843181 | Sonya Furgerson | Local Education Agency (LEA) | 207 W Main, Kansas, OK 74347 | 2015-10-09 |
1649641184 | Shelly Tennison | Local Education Agency (LEA) | 207 W. Main, Kansas, OK 74347 | 2015-10-09 |
1285299008 | Catherine Shanon Maddan | Case Manager/Care Coordinator | 207 N Highway 59, Kansas, OK 74347 | 2019-05-07 |
1003287525 | Mary Oakball | Local Education Agency (LEA) | 207 W Main, Kansas, OK 74347 | 2015-10-09 |
1497136766 | Deanne Hutchinson | Case Manager/Care Coordinator | 207 N. Highway 59, Kansas, OK 74347 | 2015-06-12 |
1932749876 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 211 N Hwy 10 Ste D, Kansas, OK 74347-0000 | 2020-01-08 |
1184177842 | Melissa Rowe | Case Manager/Care Coordinator | 207 N. Hwy. 59, Kansas, OK 74347-0000 | 2016-07-29 |
1679927552 | Theresa-grace Gibbins | Case Manager/Care Coordinator | 207 N Hwy 59, Kansas, OK 74347-0000 | 2016-04-18 |
Find all providers in zip 74347 |
Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669843181 | Sonya Furgerson | Local Education Agency (LEA) | 207 W Main, Kansas, OK 74347 | 2015-10-09 |
1649641184 | Shelly Tennison | Local Education Agency (LEA) | 207 W. Main, Kansas, OK 74347 | 2015-10-09 |
1760861355 | Pamela Snell | Local Education Agency (LEA) | 499 W Boundry, 210 E. Vaughan St., Kansas, OK 74347-1662 | 2015-05-28 |
1285764308 | Kansas Public Schools | Local Education Agency (LEA) | 700 N. Wood Ave., Kansas, OK 74347-0196 | 2007-03-07 |
1164539607 | Kansas Comm. Unit School Dist 3 | Local Education Agency (LEA) | Front Street, Kansas, IL 61933 | 2006-08-23 |
1548633373 | Kimberly Dry | Local Education Agency (LEA) | 499 W Boundry, Kansas, OK 74347-1662 | 2015-11-02 |
1932571957 | Stephanie Daugherty | Local Education Agency (LEA) | 499 W Boundry, Kansas, OK 74347-1662 | 2015-10-29 |
1003287525 | Mary Oakball | Local Education Agency (LEA) | 207 W Main, Kansas, OK 74347 | 2015-10-09 |
1295103760 | Michelle Taylor | Local Education Agency (LEA) | 499 W Boundry, Kansas, OK 74347-1662 | 2015-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746751 | Laverne Public Schools | Local Education Agency (LEA) | 615 West Jane Jayroe, Laverne, OK 73848-0040 | 2020-09-29 |
1790322402 | Leadingage Oklahoma | Local Education Agency (LEA) | 804 Ashland Dr, El Reno, OK 73036-5699 | 2019-12-02 |
1578109864 | Leach Public School | Local Education Agency (LEA) | 55979 S 530 Rd, Rose, OK 74364-1665 | 2019-11-21 |
1154962520 | Mccurtain Independent School District #37 | Local Education Agency (LEA) | Hwy 26 & Cole Street, Mccurtain, OK 74944-7494 | 2019-10-07 |
1760023576 | Whitefield Public School | Local Education Agency (LEA) | 107 South Redding Street, Whitefield, OK 74472 | 2019-10-02 |
1356993505 | Hilldale Public School | Local Education Agency (LEA) | 313 E Peak Blvd, Muskogee, OK 74403-8515 | 2019-07-09 |
1639737620 | Hominy Public School | Local Education Agency (LEA) | 200 S Pettit Ave, Hominy, OK 74035-3031 | 2019-06-04 |
1992272249 | Carlton Landing Academy | Local Education Agency (LEA) | 10 Blvd Carlton Landing, Eufaula, OK 74432 | 2018-10-25 |
1477048643 | Strother Public Schools | Local Education Agency (LEA) | 36085 Ew 1140, Seminole, OK 74868-6213 | 2018-06-28 |
1578056693 | College Bound Academy Charter School | Local Education Agency (LEA) | 2525 S 101st East Ave, Tulsa, OK 74129-4420 | 2018-06-13 |
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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.