CANDICE OLIVER (NPI# 1720417652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720417652 |
| Entity Type | Individual |
| Full Name | CANDICE OLIVER |
| Credential | M.ED. |
| Practice Address |
202 South Broadway B2 Tishomingo OK 73406 |
| Practice Telephone | 5083715448 |
| Mailing Telephone | 5083715448 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1932361656 | Candice M Oliver | Hospitalist | 101 Dates Dr, Hospitalist Office, Ithaca, NY 14850-1342 | 2008-06-25 |
| Street Address |
202 SOUTH BROADWAY B2 |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861702631 | Micheal Visnieski | Counselor | 705 West Main, Tishomingo, OK 73406-1243 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564343 | Murray State College | Orthopaedic Surgery | 1 Murray Campus St, Tishomingo, OK 73460-3137 | 2020-10-05 |
| 1326672510 | Jennifer Dawn Hopper | Nurse Practitioner | 15 County Road 55, Tishomingo, MS 38873-9100 | 2020-02-26 |
| 1487111712 | Dianna M. Mowdy | Registered Nurse | 407 Seven Springs Rd, Tishomingo, OK 73460-1032 | 2019-02-22 |
| 1003394263 | Chandra Dawn Justice | Massage Therapist | 101 N Kemp Ave, Tishomingo, OK 73460-1719 | 2018-07-31 |
| 1114463981 | Ladonna Culp | Nurse Practitioner | 311 Lafitte St, Tishomingo, OK 73460-2433 | 2017-01-17 |
| 1326407537 | Zachary Dodd | Case Manager/Care Coordinator | 5601 W Rock Creek Loop, Tishomingo, OK 73460-4433 | 2016-02-16 |
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1740676378 | Tishomingo Health Care Associates | Clinic/Center | 12b Natchez Street, Tishomingo, MS 38873 | 2015-04-10 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| Find all providers in TISHOMINGO | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1386083988 | Danielle Ophellia Brown | Counselor | 605 E 8th, Tishomingo, OK 73460-2351 | 2013-06-18 |
| 1124462825 | Ronald Ray Hart | Counselor | 1303 E Cheadle Rd, Tishomingo, OK 73460-4205 | 2013-04-24 |
| 1508115791 | Steve Devol Cheadle | Counselor | 304 S Muldrow St, Tishomingo, OK 73460-2733 | 2012-09-03 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1083919179 | Teresa Wilie Kennison | Counselor | 1350 S Muldrow St, Tishomingo, OK 73460-3278 | 2011-01-20 |
| 1952628612 | Shanna Hobbs | Counselor | 608 East 24th, Tishomingo, OK 73460 | 2010-04-21 |
| 1417273483 | Lacy Anne Borengasser | Counselor | 705 W Main, Pennington Creek Lifehouse, Tishomingo, OK 73460 | 2010-04-15 |
| 1396972204 | Carey Smith | Counselor | 200 E. Wilson, Tishomingo, OK 73460 | 2009-06-18 |
| Find all providers in TISHOMINGO | ||||
| City | TISHOMINGO |
| Zip Code | 73406 |
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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.