MRS. KERRI LEIGH TIEDEMAN (NPI# 1851959423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851959423 |
| Entity Type | Individual |
| Full Name | MRS. KERRI LEIGH TIEDEMAN |
| Practice Address |
500 E Robinson St Norman OK 73071-6697 |
| Mailing Address |
4308 Kensal Rise Pl Norman OK 73072-9654 |
| Practice Telephone | 4053645020 |
| Practice Fax Number | 4053645021 |
| Mailing Telephone | 4056200121 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10951 | OK | Pharmacy Service Providers |
| Street Address |
500 E ROBINSON ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-6697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162979 | Daphne Lynn Lashbrook | Specialist | 500 E Robinson St, Ste 2400, Norman, OK 73071-6671 | 2005-05-31 |
| 1982140349 | Blakeley Adair Hamit | Registered Nurse | 500 E Robinson St, Ste 2600, Norman, OK 73071-6697 | 2017-01-10 |
| 1669827861 | Erin Luttrell | Nurse Practitioner | 500 E Robinson St, Suite 2400, Norman, OK 73071-6697 | 2016-04-26 |
| 1861888414 | Brenda Kelley | Physician Assistant | 500 E Robinson St, Suite 300, Norman, OK 73071-6697 | 2015-04-10 |
| 1851784342 | Amber Scroggins | Nurse Practitioner | 500 E Robinson St, Suite 2400, Norman, OK 73071-6697 | 2015-03-09 |
| 1366831455 | Stephanie Porter | Physician Assistant | 500 E Robinson St, Suite 2300, Norman, OK 73071-6697 | 2015-01-13 |
| 1336543016 | Bethany Banakos | Nurse Practitioner | 500 E Robinson St, Ste 2600, Norman, OK 73071-6697 | 2014-10-09 |
| 1952718140 | Mudassir Nawaz M.d. Clinic | Nurse Practitioner | 500 E Robinson St, Suite 800, Norman, OK 73071-6697 | 2014-07-19 |
| 1538581384 | Glenroy Hines Jr. | Urology | 500 E Robinson St, Ste 1300, Norman, OK 73071-6697 | 2014-01-14 |
| 1982025359 | Kerri Baker | Physician Assistant | 500 E Robinson St, Ste 2300, Norman, OK 73071-6697 | 2014-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1508480179 | Amjad Nawaz | Pharmacist | 1963 Burning Tree, Norman, OK 73071-3946 | 2020-05-29 |
| 1699324137 | Suzanne Elaine Johnson | Pharmacist | 1251 Alameda St, Norman, OK 73071-3006 | 2019-09-07 |
| 1467000935 | Deborah Ann Von Dollen | Pharmacist | 1724 W Lindsey St, Norman, OK 73069-4306 | 2019-08-28 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1144731365 | Crystal Dawn Davis | Pharmacist | 3501 36th Ave Nw, Norman, OK 73072-2429 | 2017-10-15 |
| 1932649399 | Kathy Howery | Pharmacist | 801 Heatherhill Ct, Norman, OK 73072-4219 | 2017-03-06 |
| 1629440714 | Emmanuel Torres | Pharmacist | 800 W Rock Creek Rd Ste 117, Norman, OK 73069-8581 | 2015-10-28 |
| 1083995559 | Mimi Whitehead Harm | Pharmacist | 808 N Porter, Norman, OK 73071-6403 | 2011-08-29 |
| 1487827671 | Lisa Janet Boisselle | Pharmacist | 2813 Eaton Dr, Norman, OK 73072-2269 | 2008-04-08 |
| Find all providers in NORMAN | ||||
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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.