JARVIS J BROWN (NPI# 1760954804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760954804 |
| Entity Type | Individual |
| Full Name | JARVIS J BROWN |
| Practice Address |
2727 E Admiral Pl Tulsa OK 74110-5436 |
| Practice Telephone | 9188353017 |
| Practice Fax Number | 9188360358 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2727 E ADMIRAL PL |
| City | TULSA |
| State | OK |
| Zip Code | 74110-5436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947305 | Roberta Sue Heustis | Counselor | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2007-06-01 |
| 1225647746 | Keetoowah Cherokee Treatment Services | Counselor | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2020-07-30 |
| 1073068946 | Linda Lovell | Counselor | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2016-08-22 |
| 1194118935 | Philip Jenkins | Counselor | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2015-03-17 |
| 1952551079 | Keetoowah-cherokee Treatment Services | Rehabilitation, Substance Use Disorder Unit | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2008-09-25 |
| 1750537882 | Todd Scott Redding | Family Medicine | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2008-08-08 |
| 1124212394 | Tami Sue Ellis | Counselor | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2007-08-30 |
| 1124228127 | Keetoowah - Cherokee Treatment Services | Rehabilitation, Substance Use Disorder Unit | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985107 | Dustin Bryan | Counselor | 2727 E. Admiral Pl., Tulsa, OK 74110 | 2014-01-16 |
| 1710270418 | Deandre Lajuan Rhodes | Community/Behavioral Health | 1737 E. 32nd St. North, Tulsa, OK 74110 | 2011-05-27 |
| 1184732372 | Manuel John Alvarado Hinds | Surgery | 2448 E. Admiral Blvd, Tulsa, OK 74110 | 2006-08-28 |
| 1700822954 | Tracye Lynn Love | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2006-06-22 |
| 1932756491 | Chabreal Atkins Mcdaniel | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2019-08-20 |
| 1992259436 | Bricelyn Egana | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2016-08-13 |
| 1871972018 | Rhonda Wagnon | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2015-05-20 |
| 1831591916 | Melissa Moore | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2014-09-20 |
| 1871902007 | Kayla Chupco | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2014-08-13 |
| 1881004406 | Cecilie Croissant | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2014-05-05 |
| Find all providers in zip 74110 | ||||
| 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 |
|---|---|---|---|---|
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1275131823 | Deena June Patrick | Peer Specialist | 2536 N Boston Ave, Tulsa, OK 74106-3609 | 2020-10-15 |
| 1760098248 | Eddie L Rodriguez | Peer Specialist | 3821 S Rolling Oaks Dr, Tulsa, OK 74107-4872 | 2020-09-20 |
| 1316553100 | Amber Ponder | Peer Specialist | 7802 W 7th St, Tulsa, OK 74127-5524 | 2020-09-17 |
| 1699380089 | Sunny Shirene Cooper | Peer Specialist | 9933 E 61st St, Tulsa, OK 74133-1504 | 2020-09-11 |
| 1669099875 | Denise Lyn Ely | Peer Specialist | 12 E 12th St, Tulsa, OK 74119-2803 | 2020-07-03 |
| 1831715945 | Kyndell Leigh Mcelwee | Peer Specialist | 5043 S 76th East Ave Apt B, Tulsa, OK 74145-6219 | 2020-06-24 |
| 1548886088 | Dana Kai Stevens | Peer Specialist | 2027 E 12th Pl, Tulsa, OK 74104-4201 | 2020-06-21 |
| 1932723251 | Andrew Jacob Sargent | Peer Specialist | 321 S Frankfort Ave, Tulsa, OK 74120-2428 | 2020-06-02 |
| 1114549656 | Jonathan Michael Holbrook | Peer Specialist | 6963 E 15th Pl Apt 239, Tulsa, OK 74112-7410 | 2020-05-06 |
| Find all providers in TULSA | ||||
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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.