JACI DILLON (NPI# 1821463142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821463142 |
| Entity Type | Individual |
| Full Name | JACI DILLON |
| Practice Address |
700 S.w. Penn Bartlesville OK 74003-3847 |
| Practice Telephone | 9183378080 |
| Practice Fax Number | 9183378099 |
| Mailing Telephone | 9183378080 |
| Mailing Fax Number | 9183378099 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
700 S.W. PENN |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528267846 | Desiree R Heskett | Counselor | 700 S.w. Penn, Bartlesville, OK 74003-3847 | 2007-07-16 |
| 1871029041 | Melissa Polizzi | Peer Specialist | 700 S.w. Penn, Bartlesville, OK 74003 | 2017-05-10 |
| 1396116463 | Kathleen Bates | Case Manager/Care Coordinator | 700 S.w. Penn, Bartlesville, OK 74003-3847 | 2015-10-14 |
| 1215323613 | Jessica Smith | Case Manager/Care Coordinator | 700 S.w. Penn, Bartlesville, OK 74003-3847 | 2015-04-13 |
| 1457745168 | Amber Thompson | Marriage & Family Therapist | 700 S.w. Penn, Bartlesville, OK 74003-3847 | 2015-03-20 |
| 1215168414 | Jonetta Sue Wakely | Counselor | 700 S.w. Penn, Bartlesville, OK 74003-4331 | 2009-08-05 |
| 1467683672 | Jennifer Gray | Registered Nurse | 700 S.w. Penn, Bartlesville, OK 74003-4331 | 2009-08-05 |
| 1902069461 | Denise Aline Putnam | Counselor | 700 S.w. Penn, Bartlesville, OK 74003 | 2008-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| 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 |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1023651924 | Tiffania Paige Swan | Peer Specialist | 700 Sw. Penn, 700 Sw. Penn, Bartlesville, OK 74003-3847 | 2019-10-23 |
| 1497319230 | Aaron Watson | Peer Specialist | 804 S Chickasaw Ave Apt 18, Bartlesville, OK 74003-5202 | 2019-04-26 |
| 1114403318 | Jason Matthew Powell | Peer Specialist | 1025 S Keeler Ave, Bartlesville, OK 74003-4754 | 2018-07-11 |
| 1912353160 | Kelly Roberts | Peer Specialist | 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 | 2016-05-06 |
| 1649877325 | Shelby Elizabeth Brennan | Peer Specialist | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2020-10-05 |
| 1922624675 | James Davis Warring | Peer Specialist | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2020-06-18 |
| 1558990358 | Hannah Lord Garrett | Peer Specialist | 700 Sw Penn, Bartlesville, OK 74003 | 2020-04-03 |
| 1659911469 | Khyrstee Daven Norman | Peer Specialist | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2020-01-09 |
| 1306484407 | Ciarra Powell | Peer Specialist | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2019-12-19 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
Please comment or provide details below to improve the information on JACI DILLON.
| 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.