SHAWNA DANETTE MARTIN (NPI# 1750547816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750547816 |
| Entity Type | Individual |
| Full Name | SHAWNA DANETTE MARTIN |
| Other Name | SHAWNA DANETTE OLIVER |
| Credential | BA |
| Practice Address |
26243 Highway 51 Wagoner OK 74467-8740 |
| Practice Telephone | 9189357668 |
| Mailing Telephone | 9189357668 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861942682 | Shawna Lee Martin | Nurse Practitioner | 10084 Oak Run Dr S, Olive Branch, MS 38654-4836 | 2016-10-05 |
| 1578775425 | Shawna Danielle Martin | Chiropractor | 3502 Dixie Hwy, Louisville, KY 40216-5069 | 2007-05-04 |
| 1982075594 | Shawna Martin | Nurse Anesthetist, Certified Registered | 777 Avenue H, Powell, WY 82435-2260 | 2015-10-08 |
| 1720471832 | Shawna Martin | Marriage & Family Therapist | 925 12th St E, Glencoe, MN 55336-2336 | 2015-03-13 |
| 1497154058 | Shawna Martin | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2014-08-20 |
| Street Address |
26243 HIGHWAY 51 |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-8740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871052423 | Laura Darlene Patterson | Case Manager/Care Coordinator | 26243 Highway 51, Wagoner, OK 74467-8740 | 2019-03-13 |
| 1689165631 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 26243 Highway 51, Wagoner, OK 74467-8740 | 2018-05-25 |
| 1164930822 | Andrea Hamlet | Case Manager/Care Coordinator | 26243 Highway 51, Wagoner, OK 74467 | 2018-01-16 |
| 1699204792 | Cortez De'angelo Edwards | Case Manager/Care Coordinator | 26243 Highway 51, Wagoner, OK 74467-8740 | 2017-06-12 |
| 1487180022 | Zach Pierce | Case Manager/Care Coordinator | 26243 Highway 51, Wagoner, OK 74467-8740 | 2017-05-02 |
| 1417323254 | Haley Dixon | Counselor | 26243 Highway 51, Wagoner, OK 74467-8740 | 2015-08-17 |
| 1568838597 | Misty Foutch | Counselor | 26243 Highway 51, Wagoner, OK 74467-8740 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1083111710 | Deborah Nicole Slaughter | Case Manager/Care Coordinator | 2109 Highway 69 South, Wagoner, OK 74476 | 2018-04-10 |
| 1396273942 | Stacie A Vunetich | Case Manager/Care Coordinator | 606 Ne 3rd St, Wagoner, OK 74467-3806 | 2017-05-26 |
| 1497362560 | Lacie Ann Harris | Case Manager/Care Coordinator | 408 N State St, Wagoner, OK 74467-3822 | 2020-09-23 |
| 1003436387 | Dayna Applegate | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-04-16 |
| 1720618945 | Harry O Colbert IIi | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-01-16 |
| 1154968626 | Dante Anatol Mccoy | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-12-04 |
| 1174168793 | Alexandra Azua | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-11-07 |
| 1982268090 | Regenna Craig | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-04-24 |
| 1750840567 | Kelsey Manning | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-03-19 |
| Find all providers in WAGONER | ||||
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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.