MRS. IRIS JENELL WALLA (NPI# 1780807891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780807891 |
| Entity Type | Individual |
| Full Name | MRS. IRIS JENELL WALLA |
| Other Name | MRS. IRIS JENELL WALLA |
| Credential | R.N. |
| Practice Address |
1100 E. Monroe Mcalester OK 74502-0579 |
| Mailing Address |
Po Box 856 1211 Stonegate Lane Mcalester OK 74502-0856 |
| Practice Telephone | 9184267800 |
| Practice Fax Number | 9184265526 |
| Mailing Telephone | 9184267800 |
| Mailing Fax Number | 9184265526 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R 0050753 | OK | Nursing Service Providers |
| Street Address |
1100 E. MONROE |
| City | MCALESTER |
| State | OK |
| Zip Code | 74502-0579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467979534 | Misti Hawkins | Counselor | 101 E Monroe, Mcalester, OK 74502 | 2017-08-29 |
| 1790747798 | Walnut Grove Living Center | Skilled Nursing Facility | 1001 S George Nigh Expwy, Mcalester, OK 74502 | 2006-04-05 |
| 1801888441 | Mark Sehgal | Otolaryngology | 1401 E Van Buren Ave, Mcalester, OK 74502 | 2005-08-19 |
| 1902170921 | Mcalester Scottish Rite Charitable and Educational Foundation | Clinic/Center | 305 N. 2nd St, Mcalester, OK 74502-0609 | 2012-03-08 |
| 1063950707 | Lori Douglas | Counselor | 922 S 6th St., Mcalester, OK 74502-1234 | 2017-02-02 |
| 1649529066 | Frink-chambers Elementary School | Public Health or Welfare | 4610 Frink Road, Mcalester, OK 74502-6367 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1629676622 | Ashley Dawn Adams | Case Manager/Care Coordinator | 168 Giaudrone Rd, Mcalester, OK 74501-5692 | 2020-10-12 |
| 1619587888 | Katheryn Jean Lightle | Case Manager/Care Coordinator | 806 E Ashland Ave, Mcalester, OK 74501-2136 | 2020-08-03 |
| 1588273080 | Nattali Nicole Masson | Optometrist | 1400 E Wade Watts Ave, Mcalester, OK 74501-5652 | 2020-07-30 |
| 1225656184 | Kyle Michael Mccauley | Student in an Organized Health Care Education/Training Program | 1003 Berry Patch, Mcalester, OK 74501-7170 | 2020-07-08 |
| 1336779206 | John Nelson Lazenby IIi | Physician Assistant | 4 E Clark Bass Blvd Ste 302, Mcalester, OK 74501-4269 | 2020-01-20 |
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1114573250 | Savannah Chantae Doughty | Nurse Practitioner | 320 E Carl Albert Pkwy Ste D1, Mcalester, OK 74501-5065 | 2019-08-14 |
| 1508423427 | Ashlee Dawn Skidmore | Case Manager/Care Coordinator | 140 E Hilltop Rd, Mcalester, OK 74501-7573 | 2019-05-27 |
| 1295391845 | Catherine Tracy Preston | Occupational Therapy Assistant | 419 E Miami Ave, Mcalester, OK 74501-6421 | 2019-05-18 |
| Find all providers in MCALESTER | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215233739 | Tori Leigh Cacy | Registered Nurse | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2011-01-31 |
| 1356660211 | Karen Dejon Bowden | Registered Nurse | 100 S Main St, Suite B, Mcalester, OK 74501-5369 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668118 | David Michael Rackley | Registered Nurse | 13130 Sw 13th St, Yukon, OK 73099-6368 | 2020-10-31 |
| 1083197412 | Madison Nicole Richardson | Registered Nurse | 2942 Nw 30th St, Oklahoma City, OK 73112-6906 | 2018-09-12 |
| 1427582782 | Kriste Jo Benoit | Registered Nurse | 116 W Olney St, Chouteau, OK 74337-0922 | 2017-04-13 |
| 1790143246 | Erin Hastings | Registered Nurse | 11420 Sw 25th Ter, Yukon, OK 73099-1911 | 2016-01-29 |
| 1902233620 | Rosa C Feistel | Registered Nurse | 900 S Ellison Ave, El Reno, OK 73036-5226 | 2013-09-27 |
| 1922316975 | Felicia L Johnson | Registered Nurse | 1701 Nw 149th St, Edmond, OK 73013-1596 | 2010-09-23 |
| 1972822427 | Ellen Sue Huffmaster | Registered Nurse | 529 N. Grand Avenue, Enid, OK 73701 | 2010-05-24 |
| 1801119128 | Stephanie Harper | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1265755581 | Penny Hills | Registered Nurse | 1 Mile E. U S Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
| 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.