DUSTIN WAYNE ALEXANDER (NPI# 1831564269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831564269 |
Entity Type | Individual |
Full Name | DUSTIN WAYNE ALEXANDER |
Credential | APRN |
Practice Address |
2029 Gordon Cooper Dr Shawnee OK 74801 |
Mailing Address |
15951 Little Axe Dr Norman OK 73026-9088 |
Practice Telephone | 4058785850 |
Mailing Telephone | 4054470300 |
Mailing Fax Number | 4057017914 |
Enumeration Date | 2015-12-10 |
Last Update Date | 2018-07-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
90758 | OK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200628540B | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
15702 East Highway 9, Norman, OK 73026 | 4054470477 | |
15951 Little Axe Dr, Norman, OK 730269088 | 4054470300 |
Street Address |
2029 GORDON COOPER DR |
City | SHAWNEE |
State | OK |
Zip Code | 74801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972615607 | Pachneerat Chainakul | Pediatrics | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2006-08-31 |
1962049635 | Jack Bryan Taylor | Pharmacist | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2019-12-02 |
1689174989 | Jessica Lynn Kendall | Nurse Practitioner | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2018-02-14 |
1144761073 | Susan George | Nurse Practitioner | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2017-03-11 |
1285037762 | John Soap Jr. | Counselor | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2014-09-29 |
1922420280 | Cody Key | Pharmacist | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2014-01-06 |
1427300243 | Jessica Collum | Pharmacist | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2012-10-03 |
1932483278 | Alicja Carter | Counselor | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2011-10-05 |
1376644930 | Christine Chouteau Walsh | Internal Medicine | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
Find all providers in zip 74801 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275167397 | Kari Dawn Campbell | Nurse Practitioner | 4306 N Pottenger Ave, Shawnee, OK 74804-1267 | 2020-02-27 |
1609400266 | Kelly Elaine Bryden | Nurse Practitioner | 5117 Mccoy St, Shawnee, KS 66226-3807 | 2020-02-23 |
1316578842 | Amanda M Rigney | Nurse Practitioner | 322 S Aydelotte Ave, Shawnee, OK 74801-7611 | 2020-02-03 |
1326686767 | Jessica J. Hinchcliff | Nurse Practitioner | 5615 Maurer Rd, Shawnee, KS 66217-9766 | 2019-12-17 |
1023652815 | Sabrina Macalister | Nurse Practitioner | 30 Redbud Ln, Shawnee, OK 74801-8732 | 2019-11-05 |
1093364622 | Christiana Archibong | Nurse Practitioner | 21508 W 51st Pl, Shawnee, KS 66226-9731 | 2019-09-06 |
1003379728 | Marta Beshe | Nurse Practitioner | 5818 Theden St, Shawnee, KS 66218-9232 | 2019-04-09 |
1902370802 | Kelli Le Cox | Nurse Practitioner | 624 W Independence St Ste 116, Shawnee, OK 74804-4329 | 2019-01-14 |
1497243851 | Kendra Kirkendall | Nurse Practitioner | 421 N Beard Ave, Shawnee, OK 74801-6715 | 2018-05-01 |
1972975092 | Kristina Feezor | Nurse Practitioner | 1904 Gordon Cooper Dr, Shawnee, OK 74801-8603 | 2015-10-28 |
Find all providers in SHAWNEE |
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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.