TIFFANY MATHES (NPI# 1760896385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760896385 |
| Entity Type | Individual |
| Full Name | TIFFANY MATHES |
| Credential | LPN |
| Practice Address |
1215 Nw 25th St Oklahoma City OK 73106-5629 |
| Practice Telephone | 4055252525 |
| Practice Fax Number | 4055243549 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 59721 | OK | Residential Treatment Facilities |
| Street Address |
1215 NW 25TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-5629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336239862 | Billy Herman Stout | Family Medicine | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2006-10-13 |
| 1316599392 | Abbie Berry | Peer Specialist | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2019-07-10 |
| 1124687710 | Jacqueline Lewis | Peer Specialist | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2019-06-07 |
| 1407331895 | Allen Charles Jones Jr. | Special Hospital | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2018-10-01 |
| 1518458439 | Walter E Cooper | Psychologist | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2018-05-25 |
| 1396269262 | Tammy Pauling | Licensed Practical Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2017-08-01 |
| 1801332911 | Felicia Brawdy | Assistant Behavior Analyst | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2017-01-12 |
| 1689129157 | Stacey Powell | Licensed Practical Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2016-08-24 |
| 1770038614 | Robert Ted Lewis Bullard | Licensed Practical Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2016-08-21 |
| 1114372737 | Debra Cleary | Registered Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154662 | Landmark Recovery of Oklahoma City Ops LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-10-04 |
| 1013564319 | Landmark Recovery of Oklahoma City, LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-08-21 |
| 1205307220 | Landmark Recovery of Louisville LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2018-12-17 |
| 1134604895 | Life and Hope Counseling Agnecy | Substance Abuse Rehabilitation Facility | 2212 Sw 55th St, Oklahoma City, OK 73119-7009 | 2018-09-28 |
| 1790142784 | Vizarc LLC | Substance Abuse Rehabilitation Facility | 700 Nw 7th St, Oklahoma City, OK 73102-1212 | 2016-01-21 |
| 1093153942 | Steven Phillips | Substance Abuse Rehabilitation Facility | 824 East Dr, Oklahoma City, OK 73105-8418 | 2013-06-12 |
| 1477837276 | Catalyst Behavioral Services | Substance Abuse Rehabilitation Facility | 1501 Ne 11th St, Oklahoma City, OK 73117-2605 | 2011-09-29 |
| 1336331982 | Jordan's Crossing Inc | Substance Abuse Rehabilitation Facility | 301 W I 240 Service Rd, Oklahoma City, OK 73139-7701 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301893 | Second Chance Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 4238 Ne 1st St, Pryor, OK 74361-9614 | 2020-06-24 |
| 1912551805 | Estelle Hawkins | Substance Abuse Rehabilitation Facility | 21227 N County Road 3350, Wynnewood, OK 73098-9356 | 2019-07-29 |
| 1902359391 | Ryan Fitzpatrick | Substance Abuse Rehabilitation Facility | 7138 S Canton Ave, Tulsa, OK 74136-6303 | 2016-08-02 |
| 1609223866 | Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment | Substance Abuse Rehabilitation Facility | 1760 Blevins Rd., Bennington, OK 74723 | 2016-05-18 |
| 1679938534 | Claudia Antoinette Parker | Substance Abuse Rehabilitation Facility | 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 | 2015-12-20 |
| 1184089328 | Door 2 Ur Future | Substance Abuse Rehabilitation Facility | 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 | 2015-12-15 |
| 1144627233 | Denise Evyonne Engram | Substance Abuse Rehabilitation Facility | 4723 S Ash Dr, Broken Arrow, OK 74011-3464 | 2014-12-04 |
| 1093127979 | Kimberly Ann Kelly-lorenz | Substance Abuse Rehabilitation Facility | 163 Mohawk Dr, Canadian, OK 74425-9747 | 2014-05-27 |
| 1558783589 | Vizown LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2014-01-10 |
| 1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
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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.