CALEB CHRISTOPHER BLEVINS (NPI# 1780227454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780227454 |
| Entity Type | Individual |
| Full Name | CALEB CHRISTOPHER BLEVINS |
| Practice Address |
1212 Reynolds Ave Poteau OK 74953-4724 |
| Practice Telephone | 9186490172 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 000000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467958892 | Caleb Ray Blevins | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-04-04 |
| Street Address |
1212 REYNOLDS AVE |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568897585 | Millennium Medical Services, L.L.C. | Counselor | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-09-10 |
| 1811518301 | Bonnie Dyer | Registered Nurse | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-05-06 |
| 1376163196 | Kelsey White | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-04-22 |
| 1063052538 | Ross Barnhart | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-01-13 |
| 1215575451 | Jacqueline Kay Lindenau | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-12-18 |
| 1457996423 | Amber Dishmon | Counselor | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-11-13 |
| 1124662416 | Kaila Willet | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-30 |
| 1609419845 | Justin Mclaughlin | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-21 |
| 1699317008 | Natasha Lewis | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-17 |
| 1114568920 | Teran Barnhart | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| 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 |
|---|---|---|---|---|
| 1366977365 | Sandra Jerrell | Peer Specialist | 401 N Church St, Suite K, Poteau, OK 74953-3502 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.