JULIE CONNALLY (NPI# 1760832133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760832133 |
| Entity Type | Individual |
| Full Name | JULIE CONNALLY |
| Practice Address |
1202 Sw A Ave Lawton OK 73501-3821 |
| Mailing Address |
Po Box 3198 Lawton OK 73502-3198 |
| Practice Telephone | 5803576889 |
| Practice Fax Number | 5803570079 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1202 SW A AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467470310 | Roadback Incorporated | Substance Abuse Rehabilitation Facility | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2006-07-18 |
| 1366052532 | Avery Allen Beaty | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2020-08-03 |
| 1205446531 | Debra Young Dunham | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2020-08-02 |
| 1669860763 | Bronwen Gutzwiller | Student in an Organized Health Care Education/Training Program | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2014-12-26 |
| 1639595473 | Coldelia White | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2014-03-17 |
| 1083044580 | Candace Jones | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-11-19 |
| 1942639901 | Heather Hennessey | Substance Abuse Rehabilitation Facility | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-11-09 |
| 1619215746 | Shannon Lynn Scholtz | Counselor | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-01-24 |
| 1538414065 | Michael W Rigsby | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2012-07-20 |
| 1821352931 | Chance S Napoleon | Social Worker | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2012-07-03 |
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755812 | Tracy Marie Poafpybittty | Peer Specialist | 4904 Se Tattershall Way, Lawton, OK 73501-6400 | 2020-03-13 |
| 1932739935 | Paula Jean Cooper | Peer Specialist | 905 Sw 16th St, Lawton, OK 73501-4828 | 2020-01-19 |
| 1366072332 | Cheyenne Prettyflower Warner | Peer Specialist | 203 Sw 23rd Pl, Lawton, OK 73505-7125 | 2020-01-18 |
| 1699315408 | Ronald Dean Ramos I | Peer Specialist | 584 Nw Bingo Rd, Lawton, OK 73507-1214 | 2020-01-09 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1740639780 | Michael Alexander Watson | Peer Specialist | 6843 Nw Willow Springs Dr, 1211 Sw F Ave, Lawton, OK 73505-4251 | 2016-06-10 |
| 1821470410 | Rachel Marchbanks | Peer Specialist | 3606 Ne Willow Way, Lawton, OK 73507-4200 | 2015-06-19 |
| 1972995462 | Christian Lasiter | Peer Specialist | 1505 Sw 11th St Apt B4, Lawton, OK 73501-7376 | 2015-02-20 |
| 1811504145 | Renee Sosebee | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1679180970 | Latricia Murphy | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 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.