KENNETH EVANS (NPI# 1801314778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801314778 |
| Entity Type | Individual |
| Full Name | KENNETH EVANS |
| Practice Address |
109 S Harrill Ave Wagoner OK 74467-5317 |
| Practice Telephone | (918) 485-0242 |
| Mailing Telephone | 9184850242 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043546971 | Kenneth Evans | Case Manager/Care Coordinator | 637 Royal Ave, Midwest City, OK 73130-2710 | 2009-10-28 |
| 1114967288 | Kenneth Evans | Family Medicine | 8821 W 6th Ave, Stillwater, OK 74074-1094 | 2006-06-07 |
| 1679573422 | Kenneth C Evans | Family Medicine | 515 E Carolina Ave, Hartsville, SC 29550-4311 | 2005-07-22 |
| 1144629163 | Kenneth Lee Evans | Counselor | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2014-08-14 |
| 1194168013 | Kenneth D Evans | Audiologist | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2013-04-10 |
| 1184972721 | Kenneth Evans | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2012-08-28 |
| 1144431651 | Kenneth Wynne Evans | Family Medicine | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2007-05-25 |
| 1023158839 | Kenneth R Evans | Marriage & Family Therapist | 275 Beck Ave, Fairfield, CA 94533 | 2007-02-08 |
| Street Address |
109 S HARRILL AVE |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710007067 | Lisette Caveny | Student in an Organized Health Care Education/Training Program | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-03-30 |
| 1265049654 | Shayla Ricchele Phillips | Clinic/Center | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-09-29 |
| 1417560988 | Matthew Trent Soldier | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-08-25 |
| 1447862578 | Courtney Kristine Sunderland | Social Worker | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-08-19 |
| 1164031704 | Jeremy Vanbrunt | Behavior Technician | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-07-29 |
| 1396363560 | Michael Dean Hutchings | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-07-13 |
| 1396360640 | Jordan Marquett Presley I | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-12 |
| 1730704149 | April C Price | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-11 |
| 1487278420 | Maeghan Lee Jakubovitz | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-05 |
| 1164044764 | Ashley M Wood | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1083111710 | Deborah Nicole Slaughter | Case Manager/Care Coordinator | 2109 Highway 69 South, Wagoner, OK 74476 | 2018-04-10 |
| 1396273942 | Stacie A Vunetich | Case Manager/Care Coordinator | 606 Ne 3rd St, Wagoner, OK 74467-3806 | 2017-05-26 |
| 1750547816 | Shawna Danette Martin | Case Manager/Care Coordinator | 26243 Highway 51, Wagoner, OK 74467-8740 | 2008-07-29 |
| 1497362560 | Lacie Ann Harris | Case Manager/Care Coordinator | 408 N State St, Wagoner, OK 74467-3822 | 2020-09-23 |
| 1003436387 | Dayna Applegate | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-04-16 |
| 1720618945 | Harry O Colbert IIi | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-01-16 |
| 1154968626 | Dante Anatol Mccoy | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-12-04 |
| 1174168793 | Alexandra Azua | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-11-07 |
| 1982268090 | Regenna Craig | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-04-24 |
| Find all providers in WAGONER | ||||
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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.