WANDA LUANN BEESLEY GRAY (NPI# 1811231939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811231939 |
| Entity Type | Individual |
| Full Name | WANDA LUANN BEESLEY GRAY |
| Other Name | WANDA LUANN BEESLEY |
| Credential | EMT-P |
| Practice Address |
3100 E St Hwy 78 Tishomingo OK 73460 |
| Practice Telephone | 5802570499 |
| Mailing Telephone | 5802570499 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 9208 | OK | Emergency Medical Service Providers |
| Street Address |
3100 E ST HWY 78 |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| 1023302650 | Amanda Kay Blue | Counselor | 1531 West Main, Tishomingo, OK 73460 | 2011-05-31 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367546 | Vester Joe Williams II | Emergency Medical Technician, Paramedic | 101 E 9th, Weleetka, OK 74880 | 2020-05-11 |
| 1558860072 | David Mark Miller | Emergency Medical Technician, Paramedic | 7103 S Western Ave, Oklahoma City, OK 73139-2003 | 2018-02-10 |
| 1285069500 | Robert Gary Kramer IIi | Emergency Medical Technician, Paramedic | 1101 N Ponca Ave, Norman, OK 73071-6434 | 2013-09-05 |
| 1669775995 | Daryll K Ward | Emergency Medical Technician, Paramedic | 347794 E 980 Rd, Sparks, OK 74869-9092 | 2010-12-08 |
| 1831443969 | Bryan County Ems | Emergency Medical Technician, Paramedic | 306 S 22nd Ave, Post Office Box 1, Durant, OK 74701-5647 | 2012-10-26 |
| City | TISHOMINGO |
| Zip Code | 73460 |
Please comment or provide details below to improve the information on WANDA LUANN BEESLEY GRAY.
| 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.