BOBBY DON PRIDDY JR. (NPI# 1871097741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871097741 |
| Entity Type | Individual |
| Full Name | BOBBY DON PRIDDY JR. |
| Credential | APRN CNP |
| Practice Address |
1801 Chukka Hina Durant OK 74701 |
| Mailing Address |
1801 Chukka Hina Durant OK 74701-7117 |
| Practice Telephone | 5809313636 |
| Mailing Telephone | 5809313636 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0092060 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 S Byrd St, Tishomingo, OK 734603265 | 5802392058 |
| Street Address |
1801 CHUKKA HINA |
| City | DURANT |
| State | OK |
| Zip Code | 74701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558574574 | Michael H Arredondo | Internal Medicine | 1801 Chukka Hina, Durant, OK 74701-7117 | 2007-05-07 |
| 1811544307 | Ashley Morgan | Dietitian, Registered | 1801 Chukka Hina, Durant, OK 74701-7117 | 2019-08-20 |
| 1265085013 | Garrison Smith Lorey Sr. | Pulmonary Function Technologist | 1801 Chukka Hina, Durant, OK 74701-7117 | 2019-07-22 |
| 1356810808 | Cynthia Bernice Williams | Registered Nurse | 1801 Chukka Hina, Durant, OK 74701-7117 | 2018-11-14 |
| 1003399940 | Haley Harrison | Nurse Practitioner | 1801 Chukka Hina, Durant, OK 74701-7117 | 2018-09-06 |
| 1053824359 | Darci Lynn Bowen | Nurse Practitioner | 1801 Chukka Hina, Durant, OK 74701 | 2017-11-08 |
| 1306384821 | Choctaw Nation of Oklahoma | Clinic/Center | 1801 Chukka Hina, Durant, OK 74701-3085 | 2017-02-03 |
| 1235587627 | Quinton Tieu | Family Medicine | 1801 Chukka Hina, Durant, OK 74701-7117 | 2016-05-26 |
| 1295142115 | Choctaw Nation of Oklahoma | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Chukka Hina, Durant, OK 74701 | 2014-07-14 |
| 1396173449 | Choctaw Nation of Oklahoma | Clinic/Center | 1801 Chukka Hina, Durant, OK 74701-3085 | 2013-10-29 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356693287 | Horace E. Glover Medical Services | Nurse Practitioner | 14757 S Jackson St, Durant, MS 39063-3922 | 2012-10-02 |
| 1649573833 | Sharon B Lofton | Nurse Practitioner | 33795 Ms-12, Durant, MS 39063 | 2010-12-10 |
| 1598911646 | Sarita Joyce Glover-jackson | Nurse Practitioner | 403 Nw Depot St, Durant, MS 39063-3705 | 2008-08-08 |
| 1922086149 | Kristy M Smothers | Nurse Practitioner | 2149 Ed F Davis Rd, Durant, OK 74701-3085 | 2006-01-06 |
| 1356905988 | Keely Rebecca Nunnally | Nurse Practitioner | 2701 W University Blvd, Durant, OK 74701-2997 | 2019-04-29 |
| 1003399940 | Haley Harrison | Nurse Practitioner | 1801 Chukka Hina, Durant, OK 74701-7117 | 2018-09-06 |
| 1053824359 | Darci Lynn Bowen | Nurse Practitioner | 1801 Chukka Hina, Durant, OK 74701 | 2017-11-08 |
| 1326559683 | Joseph Reed Hutchings | Nurse Practitioner | 1807 W University Blvd, Durant, OK 74701-3011 | 2017-10-13 |
| 1093103152 | Jodi Robinson | Nurse Practitioner | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2014-12-24 |
| 1780922443 | Krista Danielle Ribera | Nurse Practitioner | 1800 W University Blvd, Durant, OK 74701-3006 | 2013-01-30 |
| 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.