MISS PAIGE MARIE CORDOVA (NPI# 1861092462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861092462 |
| Entity Type | Individual |
| Full Name | MISS PAIGE MARIE CORDOVA |
| Other Name | MISS PAIGE MARIE CORDOVA |
| Credential | LPN |
| Practice Address |
13 Hillcrest Dr Ponca City OK 74604-4808 |
| Mailing Address |
608 E Fresno Ave Ponca City OK 74601-2819 |
| Practice Telephone | 5807615197 |
| Mailing Telephone | 5807168421 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L0067313 | OK | Nursing Service Providers |
| Street Address |
13 HILLCREST DR |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74604-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932280518 | Heather Joy Weir | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2006-10-18 |
| 1275146185 | Olivia Nicole Stookey | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2020-08-29 |
| 1487078846 | Heather Vanbuskirk | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2014-02-05 |
| 1629217013 | Charles Mertz | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2009-02-09 |
| 1528105020 | Julie Anne Dilbeck | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2007-01-31 |
| 1568518702 | Catherine R Thomas | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2007-01-27 |
| 1851447726 | Kathy Sue Griffin | Licensed Practical Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2007-01-25 |
| 1417008848 | Lori Kay Dempsey | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2007-01-14 |
| 1710038146 | Joan Anastasia Merrifield | Registered Nurse | 13 Hillcrest Dr, Ponca City, OK 74604-4808 | 2007-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316960 | Kathryn L Nipper | Registered Nurse | Jane Morris, 13 Hillcrest Dr, Ponca City, OK 74604 | 2019-09-26 |
| 1043617723 | Tim Henslee | Occupational Therapy Assistant | 1601 Academy Road, Ponca City, OK 74604 | 2014-11-25 |
| 1154736221 | Paula Oast | Occupational Therapy Assistant | 1601 Academy Rd., Ponca City, OK 74604 | 2014-06-26 |
| 1154657948 | Limb Salvage International, Inc | General Practice | 2210 N 14th St, Ponca City, OK 74604 | 2009-10-29 |
| 1124150305 | Scott Thomas Kirkpatrick Sr. | Chiropractor | 1916 Lake Road, Ponca City, OK 74604 | 2007-03-12 |
| 1093854556 | Jamie Dawn Phillips | Counselor | 1300 Summers Pl, Ponca City, OK 74604 | 2007-02-05 |
| 1790160224 | Ann Mayse | Counselor | 1912 Lake Rd, Ponca City, OK 74604 | 2015-07-27 |
| 1013217462 | Laura Anne Peitz | Counselor | 3415 Meadow Ln, Ponca City, OK 74604-1318 | 2010-11-01 |
| 1194362913 | Stephanie Lynn Wright | Peer Specialist | 1512 Queens Ave, Ponca City, OK 74604-1321 | 2019-12-01 |
| 1073881314 | Triad Family Chiropractic, LLC | Chiropractor | 3004 Turner St, Ponca City, OK 74604-1512 | 2011-12-01 |
| Find all providers in zip 74604 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1184010373 | Scott Layton | Licensed Practical Nurse | 1116 Brentwood Dr, Ponca City, OK 74601-1711 | 2015-04-14 |
| 1376816645 | Claudia Jo Dilbeck | Licensed Practical Nurse | 11 Spring Vlg, Ponca City, OK 74604-5135 | 2012-02-17 |
| 1992940662 | Ana Maria Soledad Pando | Licensed Practical Nurse | 8 Forest Rd, Ponca City, OK 74604-5119 | 2008-12-10 |
| 1003062423 | Jackie Sue Tarr | Licensed Practical Nurse | 1417 Mcgraw Dr, Ponca City, OK 74601-2948 | 2008-08-18 |
| 1609276914 | Sandy Brown | Licensed Practical Nurse | 1500 N 6th St, Ponca City, OK 74601-2827 | 2014-08-25 |
| 1194060137 | Beverly F. Brown | Licensed Practical Nurse | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2012-12-03 |
| 1366717134 | Mitzi Gail Pemberton | Licensed Practical Nurse | 1500 N 6th St, Ponca City, OK 74601-2827 | 2012-03-13 |
| 1780998526 | Tammy Louise Allison | Licensed Practical Nurse | 200 White Eagle Drive, Ponca City, OK 74601 | 2010-08-04 |
| 1063684082 | Anna Mckinnis Beard | Licensed Practical Nurse | 200 White Eagle Dr, Ponca City, OK 74601 | 2008-03-31 |
| 1831314632 | Victoria A Brown | Licensed Practical Nurse | 200 White Eagle Dr, Ponca City, OK 74601 | 2007-04-16 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74604 |
Please comment or provide details below to improve the information on MISS PAIGE MARIE CORDOVA.
| 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.