JUSTIN ANTHONY CONKLING (NPI# 1831730142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831730142 |
| Entity Type | Individual |
| Full Name | JUSTIN ANTHONY CONKLING |
| Practice Address |
18101 Se44th Street Newalla OK 74857 |
| Practice Telephone | 4056511879 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
18101 SE44TH STREET |
| City | NEWALLA |
| State | OK |
| Zip Code | 74857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982149290 | Lynndee Parsons | Counselor | 16854 Meadow Lake Cir, Newalla, OK 74857-1217 | 2016-12-21 |
| 1720522451 | Katherine Mcelwee | Social Worker | 20414 Se 52nd St, Newalla, OK 74857-3017 | 2016-12-14 |
| 1851619514 | April Dawn Allen | Counselor | 19800 Se 60th St, Newalla, OK 74857-3401 | 2010-05-05 |
| 1275838773 | Kimberly Anne Nelson | Physical Therapy Assistant | 5800 Sun Perch Dr, Newalla, OK 74857-6432 | 2011-01-14 |
| 1730321639 | Laressa D Beliele | Counselor | 18201 Se 44th St, Newalla, OK 74857-6618 | 2009-03-24 |
| 1265968069 | Jaclyn Pennington | Behavior Technician | 18201 Se 44th St, Newalla, OK 74857-6618 | 2017-05-11 |
| 1144731829 | Brittany Danielle Burnes | Peer Specialist | 18451 Se 44th St, Newalla, OK 74857-6620 | 2017-10-20 |
| 1194257253 | Kelsie Self | Case Manager/Care Coordinator | 18360 S Harrah Rd, Newalla, OK 74857-7237 | 2017-03-29 |
| 1124367180 | Erica Elliott | Counselor | 10316 Carolyn Dr, Newalla, OK 74857-7605 | 2013-02-11 |
| 1578114591 | Ok Peds Pediatric Therapy Services | Clinic/Center | 7301 S Harrah Rd, Newalla, OK 74857-7912 | 2019-09-20 |
| Find all providers in zip 74857 | ||||
| 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 |
|---|---|---|---|---|
| 1730703596 | Kevin Lee Simmons | Peer Specialist | 10700 S Choctaw Rd, Newalla, OK 74857-7962 | 2020-06-07 |
| 1295370336 | Michael Bennett | Peer Specialist | 10624 S Choctaw Rd, Newalla, OK 74857-9315 | 2019-11-13 |
| 1144731829 | Brittany Danielle Burnes | Peer Specialist | 18451 Se 44th St, Newalla, OK 74857-6620 | 2017-10-20 |
| 1699390484 | Nicholas Hughes | Peer Specialist | 10700 S Choctaw Rd, Newalla, OK 74857-7962 | 2020-06-08 |
| 1003430869 | Jefferies Blake Davis | Peer Specialist | 10700 S Choctaw Rd, Newalla, OK 74857-7962 | 2020-06-07 |
| 1912521774 | Jimmy Cox | Peer Specialist | 10700 S Choctaw Rd, Newalla, OK 74857-7962 | 2020-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.