RAVEN JEANEENE PIONTEK (NPI# 1740797182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740797182 |
| Entity Type | Individual |
| Full Name | RAVEN JEANEENE PIONTEK |
| Credential | FNP-C, IBCLC |
| Practice Address |
1202 Nw Arlington Ave Lawton OK 73507-6537 |
| Mailing Address |
619 E South Boundary St Walters OK 73572-2839 |
| Practice Telephone | 5802482288 |
| Practice Fax Number | 5802485757 |
| Mailing Telephone | 5809195363 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-133766 | OK | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
106583 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 W Gore Blvd, Lawton, OK 735056332 | 5802505232 |
| Street Address |
1202 NW ARLINGTON AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398240 | Penny L Hoover | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2006-06-01 |
| 1437719465 | Comanche County Hospital Authority | Clinic/Center | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2019-06-20 |
| 1780176859 | Shannon Megan Dave | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2018-06-04 |
| 1346778644 | Shane Hoon Lee | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2017-05-31 |
| 1790210912 | Kiran Mendha | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2017-04-25 |
| 1700311396 | Brenda Guzman | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Southwest Oklahoma Family Medicine Residency, Lawton, OK 73507-6537 | 2017-04-20 |
| 1710331442 | Muhammad Zeeshan Siddiqui | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2016-04-19 |
| 1265896161 | Samiya Khan | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2016-04-07 |
| 1730554338 | Amy Hannington | Physician Assistant | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-12-08 |
| 1245618909 | Linda Baby | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 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 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414628 | Kimberly Noelle Hanley | Nurse Practitioner | 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 | 2020-07-08 |
| 1871133835 | Jeannie Marie Wyrick | Nurse Practitioner | 1805 Nw Arlington Ave, Lawton, OK 73507-6310 | 2020-01-07 |
| 1780234690 | Candace Michelle Flournoy | Nurse Practitioner | 3201 W Gore Blvd Ste 103, Lawton, OK 73505-6350 | 2019-09-13 |
| 1073071940 | Kimberly Ann Turnipseed | Nurse Practitioner | 6104 Nw Williams Ave, Lawton, OK 73505-1320 | 2019-03-08 |
| 1962980631 | Piettra Santos Alves | Nurse Practitioner | 5606 Sw Lee Blvd Ste 301, Lawton, OK 73505-9618 | 2018-08-03 |
| 1639670649 | Isabelle Zlatnik | Nurse Practitioner | 4411 W Gore Blvd Ste B1, Lawton, OK 73505-5977 | 2018-02-25 |
| 1932627387 | Tonya Bardsher | Nurse Practitioner | 916 Sw 38th St Ste D, Lawton, OK 73505-7005 | 2017-09-06 |
| 1063882140 | Theleka Williams | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2015-10-01 |
| 1255708012 | Shannon Ballou | Nurse Practitioner | 3811 W Gore Blvd Ste 6, Lawton, OK 73505-6328 | 2015-08-27 |
| 1437553252 | Ada Diann Johnson | Nurse Practitioner | 5050 Sw Lee Blvd, Lawton, OK 73505 | 2014-10-22 |
| 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.