TIFFANI ANN KELLER (NPI# 1740536721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740536721 |
| Entity Type | Individual |
| Full Name | TIFFANI ANN KELLER |
| Credential | BCS, BHRS |
| Practice Address |
1817 W Gore Blvd Lawton OK 73501-3614 |
| Mailing Address |
1612 Nw Lincoln Ave Lawton OK 73507-2957 |
| Practice Telephone | 5803573857 |
| Practice Fax Number | 5803573867 |
| Mailing Telephone | 5804835760 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
OK | Behavioral Health & Social Service Providers |
| Street Address |
1817 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437415387 | Joannita Patricia Mcmorris | Counselor | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-04-04 |
| 1679930903 | Catherine Buckland | Counselor | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2016-01-17 |
| 1629441530 | Cassandra Marie Kerrigan Redwine | Case Manager/Care Coordinator | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2015-11-02 |
| 1275928806 | Melina L Maloukis | Social Worker | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2015-03-31 |
| 1154747848 | Arthur Thomas IIi | Case Management | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2014-03-05 |
| 1225476245 | Kay Louise Specht | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2013-06-12 |
| 1568700441 | Latasha Danyell Mathews | Rehabilitation Practitioner | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2013-01-28 |
| 1265777122 | Ashley Hugley | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-12-04 |
| 1821341025 | Sharonica Johnson | Counselor | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-10-25 |
| 1558617548 | Patricia Jacquelyn Hughes | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326485129 | Debra Antley | Psychologist | 1501 Sw 69th Street, Lawton, OK 73505 | 2013-06-03 |
| 1730429663 | William Ellis Green Sr. | Psychologist | 14 Nw Pleasant View Rdg, Lawton, OK 73505-9503 | 2013-03-01 |
| 1366884256 | Talib Hashim Zambezi | Psychologist | 2305 Sw H Ave, 1, Lawton, OK 73505-8103 | 2013-07-22 |
| 1225476245 | Kay Louise Specht | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2013-06-12 |
| 1265777122 | Ashley Hugley | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-12-04 |
| 1093063836 | Elizabeth Ayala | Psychologist | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2012-08-28 |
| 1558617548 | Patricia Jacquelyn Hughes | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-07-27 |
| 1942574793 | Jacob Austin Slagle | Psychologist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2012-02-25 |
| 1467772970 | Vanessa Neal | Psychologist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2010-06-07 |
| 1942527627 | Henri Jo Ball | Psychologist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2010-04-21 |
| Find all providers in LAWTON | ||||
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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.