HEATHER RENEE KOGER (NPI# 1861956484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861956484 |
| Entity Type | Individual |
| Full Name | HEATHER RENEE KOGER |
| Credential | LPN |
| Practice Address |
27371 S 4410 Rd Vinita OK 74301-7953 |
| Practice Telephone | 9182564800 |
| Practice Fax Number | 9182564589 |
| Mailing Telephone | 9182564800 |
| Mailing Fax Number | 9182564589 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0056953 | OK | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA BOARD OF NURSING LICENSE | 0056953 | 01 |
| Street Address |
27371 S 4410 RD |
| City | VINITA |
| State | OK |
| Zip Code | 74301-7953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286499 | Michael Shawn Sanders | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2005-09-20 |
| 1831705532 | Shelbi Denise Kulchinski | Dietitian, Registered | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-09-17 |
| 1528686664 | Jocelyn Lynn Couch | Student in an Organized Health Care Education/Training Program | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-07-06 |
| 1518581636 | Angela Boston | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-06-04 |
| 1619599511 | Kevin Lee Dale | Student in an Organized Health Care Education/Training Program | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-05-13 |
| 1740813971 | Whitney Henry | Dietitian, Registered | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2020-02-17 |
| 1548747272 | Caitlin Brooke Chevalier | Optometrist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2018-07-25 |
| 1215428941 | Amber Lynne Cantrell | Dentist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2018-05-30 |
| 1043707581 | Emily Annemarie Mealin | Dietitian, Registered | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2018-04-19 |
| 1134631013 | Lynn Arthur Leverton | Clinical Pharmacology | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2017-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| 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 |
|---|---|---|---|---|
| 1952888216 | Kami Sue Willyard | Licensed Practical Nurse | 405 E Excelsior Ave, Vinita, OK 74301 | 2018-07-19 |
| 1285121251 | Vickie Ranay Gardner | Licensed Practical Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2018-04-16 |
| 1013414325 | Antoinette Hardrick | Licensed Practical Nurse | 120 E Illinois Ave, Vinita, OK 74301-3202 | 2018-04-12 |
| 1639674377 | Valerie Jean Berkstresser | Licensed Practical Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2018-03-26 |
| 1649793233 | Kathryn Heather Burrows | Licensed Practical Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2017-07-25 |
| 1083157671 | Cheryl Ann Aery | Licensed Practical Nurse | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2016-11-30 |
| 1598985780 | Travis S Madigan | Licensed Practical Nurse | 405 E. Excelsior, Vinita, OK 74301 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777634 | Karen Ann Crosby | Licensed Practical Nurse | 205 E Ninth St, Wright City, OK 74766 | 2020-10-12 |
| 1013514504 | Tammie Renee Langford | Licensed Practical Nurse | 417952 E 1910 Rd, Antlers, OK 74523-7441 | 2020-10-07 |
| 1033722145 | Karen Gail Nickels | Licensed Practical Nurse | 29408 S 548 Rd, Cookson, OK 74427-2423 | 2020-08-28 |
| 1942825872 | Larita Leake | Licensed Practical Nurse | 10404 Vineyard Blvd Ste C, Oklahoma City, OK 73120-3739 | 2020-06-16 |
| 1568028355 | Kimberly Dawn Richardson | Licensed Practical Nurse | 9213 Ne 10th St, Midwest City, OK 73130-1317 | 2019-05-16 |
| 1265992515 | Jacqueline Chanthay Williams | Licensed Practical Nurse | 1323 E Ash St, Altus, OK 73521-2908 | 2019-03-22 |
| 1114484623 | Sabrina Susie Rocha | Licensed Practical Nurse | 9811 E 12th St, Tulsa, OK 74128-3803 | 2019-02-21 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1003388497 | Katrina Ann Bush | Licensed Practical Nurse | 1721 E Omaha St Apt B3, Broken Arrow, OK 74012-0363 | 2018-12-22 |
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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.