KORI WREN WIEGMANN (NPI# 1720619935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720619935 |
| Entity Type | Individual |
| Full Name | KORI WREN WIEGMANN |
| Credential | RN |
| Practice Address |
1515 Nw Lawrie Tatum Road Lawton OK 73507 |
| Practice Telephone | 5803545000 |
| Mailing Telephone | 5803585000 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R0122653 | OK | Nursing Service Providers |
| Street Address |
1515 NW LAWRIE TATUM ROAD |
| City | LAWTON |
| State | OK |
| Zip Code | 73507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| 1326066291 | Jackie Lee Mckinnis | Dentist | 2101 Nw Ferris Ave, Lawton, OK 73507 | 2006-07-18 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275191793 | Mallory Scheurer | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2019-05-30 |
| 1548785348 | Ellen Rochelle Tahhahwah-martinez | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2017-08-14 |
| 1184095184 | Rozanne Takewahpoor | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-10-15 |
| 1376913087 | Maria Malave | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-10-07 |
| 1679943864 | Makenzie Topaum | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-09-30 |
| 1194195578 | Denise Poemoceah | Registered Nurse | 1515 Lawrie Tatum Rd, Lawton, OK 73507 | 2015-09-29 |
| 1124497789 | Raelyn Battiest | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-09-24 |
| 1548639354 | Danny Rathjen | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073018487 | Angela Christine Mccoy | Registered Nurse | 2321 Fruitful Dr, Midwest City, OK 73130-1014 | 2018-03-27 |
| 1134629405 | Jacob Jackson | Registered Nurse | 1800 W 1st St Ste 105b, Elk City, OK 73644-3133 | 2018-02-13 |
| 1417483439 | Lori Wheeler | Registered Nurse | 625 Redstone Ave, Edmond, OK 73013-5915 | 2017-05-11 |
| 1023567989 | Michael Zinn | Registered Nurse | 1631 Oakwood Dr, Norman, OK 73069-4448 | 2016-10-03 |
| 1417174632 | Jennifer Phillips | Registered Nurse | 802 Kaufman Ave, Tahlequah, OK 74464-5145 | 2007-04-19 |
| 1700800869 | Theresa Anne Flowerette | Registered Nurse | 1230 W Main St Ste B, Pawhuska, OK 74056-5911 | 2006-07-26 |
| 1013542406 | Jorge Cardenas | Registered Nurse | 205 S Park Ln, Altus, OK 73521-5755 | 2020-03-06 |
| 1700437449 | Micah Taylor | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-24 |
| 1699325035 | Dixie Marie Christie | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-18 |
| 1679122055 | Edwina Rae Berryhill | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-09 |
| 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.