RICKY WALTERS (NPI# 1760785919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760785919 |
| Entity Type | Individual |
| Full Name | RICKY WALTERS |
| Practice Address |
205 S Jt Stites Sallisaw OK 74955 |
| Practice Telephone | 9187757787 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
205 S JT STITES |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376041202 | Amanda Jackson | Peer Specialist | 205 S Jt Stites, Sallisaw, OK 74955-9301 | 2018-01-25 |
| 1467836627 | Latosha Bowling | Counselor | 205 S Jt Stites, Sallisaw, OK 74955-9301 | 2015-07-16 |
| 1326319062 | Lester Tate | Counselor | 205 S Jt Stites, Sallisaw, OK 74955 | 2012-01-25 |
| 1053696138 | Michelle Shafer | Counselor | 205 S Jt Stites, Sallisaw, OK 74955 | 2011-10-20 |
| 1972887370 | John Tautfest | Counselor | 205 S Jt Stites, Sallisaw, OK 74955 | 2011-10-04 |
| 1992088868 | Jessica Oliver | Counselor | 205 S Jt Stites, Sallisaw, OK 74955 | 2011-09-27 |
| 1427357516 | Nancy Bigheart | Counselor | 205 S Jt Stites, Sallisaw, OK 74955 | 2011-03-15 |
| 1760789937 | Shellie Poindexter | Specialist | 205 S Jt Stites, Sallisaw, OK 74955 | 2011-02-23 |
| 1679878326 | Kristie Dawn Bradley | Case Manager/Care Coordinator | 205 S Jt Stites, Sallisaw, OK 74955 | 2011-01-11 |
| 1891098463 | John Hembree | Case Manager/Care Coordinator | 205 S Jt Stites, Sallisaw, OK 74955 | 2010-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
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| 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 |
|---|---|---|---|---|
| 1912537499 | Lyndsay D Hamilton | Case Manager/Care Coordinator | 614 E Chickasaw Ave, Sallisaw, OK 74955-4810 | 2020-01-23 |
| 1588134050 | Spencer Lee Morris | Case Manager/Care Coordinator | 2600 Andrea Ln, Sallisaw, OK 74955-1891 | 2018-11-27 |
| 1548785504 | Stephanie Martin Thomas | Case Manager/Care Coordinator | 467277 E 1060 Rd, Sallisaw, OK 74955-7178 | 2017-08-10 |
| 1982098794 | Teri Leedom | Case Manager/Care Coordinator | 105 N Zulkey St, Sallisaw, OK 74955-3040 | 2015-03-19 |
| 1669883906 | Frances Kay Crawford | Case Manager/Care Coordinator | 472016 Highway 101, Sallisaw, OK 74955-7314 | 2014-05-08 |
| 1780978262 | Amy Edwards | Case Manager/Care Coordinator | 205 S Jt Stites Blvd, Sallisaw, OK 74955 | 2011-06-02 |
| 1538489653 | Debi Ann Bair | Case Manager/Care Coordinator | 2709 E King Ave, Sallisaw, OK 74955-5444 | 2010-06-11 |
| 1285240135 | Seth Lattimore | Case Manager/Care Coordinator | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 2020-09-16 |
| 1790288421 | Sonya Denise Simmons | Case Manager/Care Coordinator | 205 J T Stites Blvd, Sallisaw, OK 74955-9323 | 2018-03-08 |
| 1477055234 | Brenda Belledean Taylor | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2018-03-07 |
| Find all providers in SALLISAW | ||||
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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.