MRS. TABITHA JOY SISEMORE (NPI# 1730607060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730607060 |
| Entity Type | Individual |
| Full Name | MRS. TABITHA JOY SISEMORE |
| Credential | RN |
| Practice Address |
1717b S Utica Ave Ste 205 Tulsa OK 74104-5332 |
| Practice Telephone | (918) 744-2457 |
| Practice Fax Number | 9187442483 |
| Mailing Telephone | 9187442457 |
| Mailing Fax Number | 9187442483 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
112170 | OK | Nursing Service Providers |
| Street Address |
1717B S UTICA AVE STE 205 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952747768 | Cynthia (cyndi) A Schneider | Dietitian, Registered | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2013-05-20 |
| 1528564929 | St. John Physicians, Inc. | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2018-04-04 |
| 1932602265 | Amber Michelle Inman | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2018-03-13 |
| 1013433077 | Caitlyn Rayann Brannon | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2017-08-21 |
| 1962928929 | Tanya Shantel Hanneman | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2017-08-21 |
| 1386160588 | Sarah Brisco | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053649582 | Daphne Dinsmore | Registered Nurse | 1265 S Utica Ave Ste 100, Tulsa, OK 74104-4243 | 2009-11-20 |
| 1356677157 | Joan Marie Mccleary | Registered Nurse | 1265 Utica Ave., Ste. 100n, Tulsa, OK 74104-4090 | 2009-10-29 |
| 1932602265 | Amber Michelle Inman | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2018-03-13 |
| 1013433077 | Caitlyn Rayann Brannon | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2017-08-21 |
| 1962928929 | Tanya Shantel Hanneman | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2017-08-21 |
| 1386160588 | Sarah Brisco | Registered Nurse | 1717b S Utica Ave Ste 205, Tulsa, OK 74104-5332 | 2017-08-18 |
| 1255866554 | Debra Gibson | Registered Nurse | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2017-04-24 |
| 1376963330 | Brooke Baker | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2014-04-17 |
| 1568720688 | Shari Ann Stevens | Registered Nurse | 4444 E 41st St, Ste 1b, Tulsa, OK 74135-2527 | 2012-04-26 |
| 1669798591 | Rose Marie Kaplan | Registered Nurse | 9001 S 101st East Ave, Ste 350, Tulsa, OK 74133-5708 | 2010-04-16 |
| Find all providers in TULSA | ||||
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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.