VICKIE LYNN WATSON (NPI# 1720183692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720183692 |
Entity Type | Individual |
Full Name | VICKIE LYNN WATSON |
Practice Address |
Rr 1 Box 64a 14457 N 3650 Sasakwa OK 74867-9714 |
Practice Telephone | 4059413826 |
Practice Fax Number | 4059413826 |
Mailing Telephone | 4059413826 |
Mailing Fax Number | 4059413826 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
Street Address |
RR 1 BOX 64A 14457 N 3650 |
City | SASAKWA |
State | OK |
Zip Code | 74867-9714 |
Taxonomy Code | 373H00000X |
Grouping | Nursing Service Related Providers |
Classification | Day Training/Habilitation Specialist |
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
1588784680 | Sadie Mayfeild | Day Training/Habilitation Specialist | 11034 E 16th St, Tulsa, OK 74128-4877 | 2007-03-30 |
1982729323 | Marilyn Hooper-kirk | Day Training/Habilitation Specialist | 5017 S Irvington Ct, Tulsa, OK 74135-6816 | 2007-03-21 |
1689799249 | Opportunity Center, Incorporated | Day Training/Habilitation Specialist | 2225 N Union St, Ponca City, OK 74601-1555 | 2007-03-20 |
1205925138 | Kiamichi Opportunities | Day Training/Habilitation Specialist | 405 North 16, Hugo, OK 74743 | 2006-10-11 |
1841383916 | Southwest Oklahoma Community Action Group, Inc. | Day Training/Habilitation Specialist | 2208 Enterprise Dr, Altus, OK 73521-5843 | 2006-10-02 |
1598866535 | Betty L Evans | Day Training/Habilitation Specialist | 104 Poe Ave, Poteau, OK 74953-2418 | 2006-09-25 |
1467559708 | Bonnie Jean Reich | Day Training/Habilitation Specialist | 19460 8a St., Norman, OK 73026-9475 | 2006-09-20 |
1386749729 | Brenda G. Cox II | Day Training/Habilitation Specialist | Brenda Cox, Rt.1 Box 216c, Skiatook, OK 74070-9712 | 2006-09-13 |
1275927006 | Jodi Parks | Day Training/Habilitation Specialist | 2619 N Harvey Ave, Oklahoma City, OK 73103-3017 | 2015-03-18 |
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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.