KAITLIN JEWEL ROUK (NPI# 1699294215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699294215 |
| Entity Type | Individual |
| Full Name | KAITLIN JEWEL ROUK |
| Practice Address |
1201 W 9th St Beggs OK 74421-2193 |
| Mailing Address |
3810 Harreld Rd Beggs OK 74421-2478 |
| Practice Telephone | 9182674916 |
| Practice Fax Number | 9182674916 |
| Mailing Telephone | 9188575244 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1201 W 9TH ST |
| City | BEGGS |
| State | OK |
| Zip Code | 74421-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386978740 | Katherine Rene Dossey | Pharmacist | 8054 Hwy 16 #100, Beggs, OK 74421 | 2009-10-01 |
| 1003934076 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 301 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1568580538 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 302 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1366465247 | Servant Living Center-beggs, LLC | Intermediate Care Facility, Mentally Retarded | 306 E 7th St, Beggs, OK 74421 | 2006-07-25 |
| 1588299499 | Natasha D Mcfalls | Nurse Practitioner | 103 E Main St, Beggs, OK 74421 | 2020-03-11 |
| 1447409206 | Kerri Lee Ellis | Nurse Practitioner | 103 E Main St, Beggs, OK 74421 | 2008-09-16 |
| 1194843169 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 303 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1912025982 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 304 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1750821658 | Monica Ann Kirkendoll | Nurse Practitioner | 103 E Main St, Beggs, OK 74421-0478 | 2017-02-27 |
| 1952497794 | Kenneth Clayton Kern | Family Medicine | 103 E Main, Beggs, OK 74421-0478 | 2006-10-05 |
| Find all providers in zip 74421 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518209915 | Shannon R West | Counselor | 8551 Western Dr, Beggs, OK 74421-3155 | 2013-03-23 |
| 1255673653 | Lyndzey Kathleen Goff | Counselor | 8551 Western Dr, Beggs, OK 74421-3155 | 2013-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1518573658 | Okiestrong Behavioral Health & Counseling, LLC | Counselor | 715 Se 12th St, Moore, OK 73160-7303 | 2020-09-22 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1588276133 | Samantha Johnette Sowers | Counselor | 404 S Monroe Ave, Wagoner, OK 74467-6200 | 2020-08-17 |
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 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.