TIMOTHY THANNISCH (NPI# 1831790005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831790005 |
| Entity Type | Individual |
| Full Name | TIMOTHY THANNISCH |
| Practice Address |
2425 W University Blvd Ste 100 Durant OK 74701-2970 |
| Practice Telephone | 5809247331 |
| Practice Fax Number | 5809247332 |
| Mailing Telephone | 5809247331 |
| Mailing Fax Number | 5809247332 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R0067271 | OK | Nursing Service Providers |
| Street Address |
2425 W UNIVERSITY BLVD STE 100 |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740672880 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 100, Durant, OK 74701-2970 | 2015-02-26 |
| 1033731971 | Crystal Wrape | Case Manager/Care Coordinator | 2425 W University Blvd Ste 100, Durant, OK 74701-2970 | 2020-05-14 |
| 1770104267 | Michael Gorsch | Case Manager/Care Coordinator | 2425 W University Blvd Ste 100, Durant, OK 74701-2970 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765934 | Lacii Sarah Michelle Knight | Registered Nurse | 9126 State Road 70e, Durant, OK 74701-0177 | 2020-03-14 |
| 1821556119 | Ashleigh Michelle Wood | Registered Nurse | 121 Quail Ridge Rd, Durant, OK 74701-4836 | 2019-03-06 |
| 1639159700 | Ora Orthopedics, PC | Registered Nurse | 621 5th Street, Durant, IA 52747 | 2006-01-17 |
| 1356810808 | Cynthia Bernice Williams | Registered Nurse | 1801 Chukka Hina, Durant, OK 74701-7117 | 2018-11-14 |
| 1831583137 | Kylie Mishael Self | Registered Nurse | 1001 W Main St, Durant, OK 74701-5038 | 2015-03-24 |
| 1467872283 | Heather Marcum | Registered Nurse | 702 Bryan Dr, Durant, OK 74701-7030 | 2014-04-19 |
| 1508142357 | Patricia A Hartsell | Registered Nurse | 1604 N Washington Ave, Durant, OK 74701-2128 | 2011-10-25 |
| 1821312018 | Crystal Winters | Registered Nurse | 134 N 12th Ave, Durant, OK 74701-4718 | 2010-03-17 |
| 1700014867 | Kennedy Brooke Decker-walters | Registered Nurse | 1708 Delivery Lane, Durant, OK 74701-2292 | 2009-06-29 |
| 1164554200 | Carla White | Registered Nurse | 134 N 12th Ave, Durant, OK 74701-4718 | 2007-03-12 |
| Find all providers in DURANT | ||||
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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.