LISA AVERY


Address: 6333 E Skelly Dr, Tulsa, OK 74135-6106
Phone: 9185089212

LISA AVERY (NPI# 1790030872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790030872
Entity Type Individual
Full Name LISA AVERY
Practice Address 6333 E Skelly Dr
Tulsa
OK 74135-6106
Practice Telephone 9185089212
Enumeration Date 2012-07-16
Last Update Date 2012-07-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Providers LISA AVERY

NPI Name Taxonomy Address Enumeration
1942552047 Lisa Avery Physician Assistant 132 Lombard Cir, Clermont, FL 34711-6525 2012-10-12
1225344963 Lisa Avery Physical Therapist 31 Middle St., Northern Physical Therapy, PC, Lyndonville, VT 05851 2010-08-19
1477866515 Lisa Avery Physical Therapist 3325 Executive Dr, Suite 222, Raleigh, NC 27609-7458 2010-07-19
1952854168 Lisa Carr Avery Social Worker 610 S Burdick St, Kalamazoo, MI 49007-5221 2016-07-25
1356602908 Lisa M Avery Social Worker 1270 Doris Rd, Auburn Hills, MI 48326-2617 2012-05-30
1699008409 Lisa M Avery Psychiatry & Neurology 34921 Us Highway 19 N, Suite 290, Palm Harbor, FL 34684-1969 2009-09-11
1912179672 Lisa Marie Avery Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2008-04-01

Office Location

Street Address 6333 E SKELLY DR
City TULSA
State OK
Zip Code 74135-6106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053317883 12 & 12, Inc. Substance Abuse Rehabilitation Facility 6333 E Skelly Dr, Tulsa, OK 74135-6106 2005-06-27
1720685175 Jesse Misthaven Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-10-07
1699372482 Christine Reynold Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-10-05
1679185920 Kacey Ann Cottrell Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-08-18
1861003931 Matthew Schane Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-08-12
1841817368 Bernadette Bouciquot Registered Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-30
1568088011 Brenda Kay Kuntzelman Licensed Practical Nurse 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-21
1023634698 Kelli Ann Ordorica Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-19
1215552120 Amanda Lindsey Spicer Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-16
1619592672 Tieraney Candice Rodriguez Case Manager/Care Coordinator 6333 E Skelly Dr, Tulsa, OK 74135-6106 2020-06-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1942839089 Kimberly Renee Gillens Student in an Organized Health Care Education/Training Program 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 2020-04-01
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
1326524216 Shelley Deeann Anderson Technician 7359 S 68th, Tulsa, OK 74135 2018-07-14
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1225547821 Heather Nicole Freed Counselor 4363 S Harvard Ave, Tulsa, OK 74135 2017-09-26
1306363924 Danielle Walker Case Manager/Care Coordinator 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 2017-08-24
1346766078 Angels Place Day Training, Developmentally Disabled Services 3919 S. Oswego Avenue, Tulsa, OK 74135 2017-08-15
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
1346774197 Brandie Herren Registered Nurse 6333 E Skelly Drive, Tulsa, OK 74135 2017-04-19
Find all providers in zip 74135

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902359391 Ryan Fitzpatrick Substance Abuse Rehabilitation Facility 7138 S Canton Ave, Tulsa, OK 74136-6303 2016-08-02
1184089328 Door 2 Ur Future Substance Abuse Rehabilitation Facility 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 2015-12-15
1104256684 Robert Watson Substance Abuse Rehabilitation Facility 111 W 5th St Ste 600, Tulsa, OK 74103-4260 2013-11-19
1114279718 Family and Children Services Substance Abuse Rehabilitation Facility 10922 E 39th St, Tulsa, OK 74146-2703 2012-10-05
1568683530 Suzannah Louise Le Brocq Substance Abuse Rehabilitation Facility 12&12 Inc., 6333 East Skelly Drive, Tulsa, OK 74135 2007-05-01
1053317883 12 & 12, Inc. Substance Abuse Rehabilitation Facility 6333 E Skelly Dr, Tulsa, OK 74135-6106 2005-06-27
1134570252 Shannon Nolan Substance Abuse Rehabilitation Facility 6333 E Skelly Dr, Tulsa, OK 74135-6106 2016-06-30
1285011858 John T Bennett Substance Abuse Rehabilitation Facility 6333 E Skelly Dr, Tulsa, OK 74135-6106 2015-05-02
1831527613 Wanda Mcinturff Substance Abuse Rehabilitation Facility 6333 E Skelly Dr, Tulsa, OK 74135-6106 2013-10-14
1073889036 12&12 Inc Substance Abuse Rehabilitation Facility 6333 E Skelly Dr, Tulsa, OK 74135-6106 2012-03-23
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74135

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Dataset Information

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.

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