JENNIFER LYNN CHEATHAM (NPI# 1710402946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710402946 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN CHEATHAM |
| Credential | MS |
| Practice Address |
1605 N Harrison St Shawnee OK 74804-4022 |
| Practice Telephone | 4053952602 |
| Mailing Telephone | 4053952602 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679885412 | Jennifer Cheatham | Family Medicine | 1700-1 East Quarter Rd., Siloam Springs, AR 72761 | 2010-07-09 |
| Street Address |
1605 N HARRISON ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891762951 | Brian Ernest Drew | Dentist | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2006-03-07 |
| 1932729092 | Andra Elizabeth Tipton | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2020-04-19 |
| 1902464308 | Brittny Rayeann Bradford | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-05-31 |
| 1427517572 | Shelley L Coffman | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-03-18 |
| 1992260004 | Juanita Pearl Marshall | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-02-02 |
| 1124507579 | Amy Adelle Jennings | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2018-08-07 |
| 1477060424 | Whitney Rhea Elliott | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2017-12-29 |
| 1235680984 | Twenty-nine 11, Inc. | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-10-18 |
| 1184085367 | Twenty-nine 11 Inc | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-03-15 |
| 1255797858 | Alicia Martinez-cruz | Student in an Organized Health Care Education/Training Program | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417431081 | Cura Counseling and Professional Development LLC | Counselor | 611 N Bonita Ave, Shawnee, OK 74801-6038 | 2018-09-19 |
| 1134614589 | Sayble Paige Turner | Counselor | 600 W Independence St Ste 1000, Shawnee, OK 74804-4320 | 2018-06-28 |
| 1548707169 | Courtney J Vaughn | Counselor | 600 W Independence St Ste 9010, Shawnee, OK 74804-4320 | 2017-01-20 |
| 1538567284 | Virgil Newport Jr. | Counselor | 2524 N Harrison St Trlr 8, Shawnee, OK 74804-3103 | 2014-12-11 |
| 1386064426 | Cassandra Alexander | Counselor | 6305 Moon Lake Cir, Shawnee, OK 74804-2649 | 2014-04-16 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1386981017 | Janet Wilson | Counselor | 6826 Lackman Rd, Shawnee, KS 66217-9595 | 2013-01-15 |
| 1891051330 | Malita Elice Green | Counselor | 102 Ashley Dr, Shawnee, OK 74804-9710 | 2012-04-10 |
| 1275800997 | Latrice Vernice Jackson | Counselor | 1415 E 10th St, 2425 Lenore St., Shawnee, OK 74801-7801 | 2011-11-23 |
| Find all providers in SHAWNEE | ||||
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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.