BONNIE SMITH (NPI# 1750826921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750826921 |
| Entity Type | Individual |
| Full Name | BONNIE SMITH |
| Practice Address |
213 W Broadway Ave Elk City OK 73644-4741 |
| Mailing Address |
Po Box 2053 Elk City OK 73648-2053 |
| Practice Telephone | 5803038806 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427484419 | Bonnie Smith | Chore Provider | 39065 Red Hill Street, Sterling, AK 99672 | 2013-09-23 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1619183233 | Bonnie Lynn Smith | Physical Therapy Assistant | 1000 S. 12 Ave., Yvcc Sherar Gymnasium, Yakima, WA 98902-2521 | 2007-05-14 |
| 1144398330 | Bonnie Jo Smith | Nurse Practitioner | 59 College Avenue, Barnhart Memorial Student Health Center West Virginia W, Buckhannon, WV 26201-2600 | 2006-12-04 |
| 1831290576 | Bonnie Smith | Speech-Language Pathologist | 4122 Library St, Port Charlotte, FL 33948-2275 | 2006-09-26 |
| 1306865084 | Bonnie Smith | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-07-19 |
| 1558869412 | Bonnie Smith | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-01-25 |
| 1407207574 | Bonnie Smith | Voluntary or Charitable | 3535 Quakerbridge Rd, Suite 201, Hamilton, NJ 08619-1200 | 2016-06-29 |
| 1669829776 | Bonnie Smith | Family Medicine | 2355 S Western Ave, Chicago, IL 60608-3837 | 2016-05-18 |
| 1891057238 | Bonnie S Smith | Physical Therapist | 2775 E Lansing Dr, East Lansing, MI 48823-7755 | 2012-06-12 |
| Street Address |
213 W BROADWAY AVE |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-4741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083878722 | Peggy S Puckett | Counselor | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2008-07-11 |
| 1275183139 | Mandy Colleen Dillard | Counselor | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2019-09-12 |
| 1982251799 | Sheila Anne Lynch | Counselor | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2019-08-26 |
| 1811483225 | Vanita R Wright | Counselor | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2018-07-09 |
| 1720309222 | Linda Gastineau | Counselor | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2010-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| 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 |
|---|---|---|---|---|
| 1801283056 | Shea Bales | Case Manager/Care Coordinator | 100 S Monroe St Ste 5, Elk City, OK 73644-5761 | 2015-04-24 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1245838077 | Linda Muniz | Case Manager/Care Coordinator | 3080 W 3rd St, Elk City, OK 73644-4323 | 2020-10-14 |
| 1144850603 | Christine Lynn Dowty | Case Manager/Care Coordinator | 3080 W 3rd St, Elk City, OK 73644-4323 | 2020-01-23 |
| 1174162259 | Devonia Monroe | Case Manager/Care Coordinator | 3080 W 3rd St, Elk City, OK 73644-4323 | 2020-01-06 |
| 1144885716 | Rae M Macias | Case Manager/Care Coordinator | 3080 W 3rd St, Elk City, OK 73644-4323 | 2019-05-08 |
| 1538628151 | Donna Lavon Drinnon | Case Manager/Care Coordinator | 3080 W 3rd St, Elk City, OK 73644-4323 | 2019-03-13 |
| 1164954541 | Raechel Elizabeth Pineda | Case Manager/Care Coordinator | 3080 W 3rd St, Elk City, OK 73644-4323 | 2017-04-03 |
| 1194262832 | Kerrie Wallace | Case Manager/Care Coordinator | 100 S Monroe St Ste 5, Elk City, OK 73644-5761 | 2017-01-19 |
| 1144680133 | Larry Keyes | Case Manager/Care Coordinator | 100 S Monroe St, 5, Elk City, OK 73644-5722 | 2016-03-03 |
| Find all providers in ELK CITY | ||||
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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.