MONA JANE ELLIOTT (NPI# 1851855266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851855266 |
| Entity Type | Individual |
| Full Name | MONA JANE ELLIOTT |
| Practice Address |
301 N Oklahoma Ave Mangum OK 73554-3009 |
| Practice Telephone | 5807823343 |
| Mailing Telephone | 5807823343 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PERSONAL CARE | 736021103 | 01 |
| Street Address |
301 N OKLAHOMA AVE |
| City | MANGUM |
| State | OK |
| Zip Code | 73554-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1194295741 | Ez Sleep Solutions, Inc. | Dentist | 230 E. Jefferson, Mangum, OK 73554 | 2018-11-27 |
| 1881122976 | Lexie Noel Turner | Case Manager/Care Coordinator | 115 E Lincoln, Mangum, OK 73554 | 2017-06-01 |
| 1740640648 | Yco Tulsa, Inc. | Clinic/Center | 2100 North Louis Tittle, Suites 122-124 and 147-148, Mangum, OK 73554 | 2016-03-04 |
| 1750748984 | Teryl Pearson | Counselor | 2 Wickersham Dr., New Hope Recovery Center, Mangum, OK 73554 | 2016-01-19 |
| 1437525532 | Kiley Reneah Bachelder | Case Manager/Care Coordinator | 2 Wichersham Drive, Mangum, OK 73554 | 2015-08-12 |
| 1376941732 | Dana Juarez | Marriage & Family Therapist | 2100 N Louis Tittle, Mangum, OK 73554 | 2014-12-16 |
| 1033388509 | Blackhawk Mangum, LLC | Clinic/Center | 118 South Louis Tittle, Mangum, OK 73554 | 2008-02-28 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1336356500 | Patrecia Ann Fite | Nurse Practitioner | 2100 North Louis Tittle Ave, Box 1, Mangum, OK 73554 | 2007-05-17 |
| Find all providers in zip 73554 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306024 | Regina Dilli | Technician | 401 N Oklahoma Ave, Mangum, OK 73554-3000 | 2018-12-05 |
| 1942831797 | Tammy Ochoa | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2020-01-30 |
| 1770047177 | Halie Clark | Technician | 201 W Madison St, Mangum, OK 73554-1811 | 2019-01-30 |
| 1134683535 | Sandra Gonzales | Technician | 201 W Madison St, Mangum, OK 73554-1811 | 2019-01-30 |
| 1700340197 | Shalonda Dickey | Technician | 201 W Madison St, Mangum, OK 73554-1811 | 2019-01-30 |
| 1487118873 | Holly Hamon | Technician | 201 W Madison St, Mangum, OK 73554-1811 | 2019-01-30 |
| 1649741430 | Mary Kathy Davis | Technician | 401 N Oklahoma Ave, Mangum, OK 73554-3000 | 2018-12-06 |
| 1992275721 | Shelly Smith | Technician | 401 N Oklahoma Ave, Mangum, OK 73554-3011 | 2018-12-05 |
| 1134635956 | Sheena Allmon | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-12-15 |
| 1376090696 | Kara Garrett | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2016-09-02 |
| Find all providers in MANGUM | ||||
Please comment or provide details below to improve the information on MONA JANE ELLIOTT.
| 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.