BEVERLY ANN MANTOOTH (NPI# 1871117846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117846 |
| Entity Type | Individual |
| Full Name | BEVERLY ANN MANTOOTH |
| Practice Address |
117801 S 4163 Rd Eufaula OK 74432-6607 |
| Practice Telephone | 9186802270 |
| Mailing Telephone | 9186802270 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
117801 S 4163 RD |
| City | EUFAULA |
| State | OK |
| Zip Code | 74432-6607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272249 | Carlton Landing Academy | Local Education Agency (LEA) | 10 Blvd Carlton Landing, Eufaula, OK 74432 | 2018-10-25 |
| 1780169631 | Kristin Corbin | Registered Nurse | 500 Eunice Burns, Eufaula, OK 74432 | 2018-09-26 |
| 1831670934 | Brandy Nicole Chiles | Registered Nurse | 500 Eunice Burns Road, Eufaula, OK 74432 | 2018-08-27 |
| 1922527506 | Rebekah Lea Mason | Counselor | 16820 State Highway 9 East, Eufaula, OK 74432 | 2017-09-14 |
| 1902328727 | Southeast Imaging, LLC | Physiological Laboratory | 111 Forest Ave., Suite C, Eufaula, OK 74432 | 2017-07-13 |
| 1881127561 | Charity Brady | Physical Therapist | 29 Hospital Rd, Eufaula, OK 74432 | 2017-04-10 |
| 1700209145 | Beverly Mefford | Social Worker | 104 Alexander Dr., Eufaula, OK 74432 | 2014-01-21 |
| 1649551177 | Cynthia Paula Vanpool | Case Manager/Care Coordinator | Rural Route 1 Box 131 C, Eufaula, OK 74432 | 2011-08-29 |
| 1285938621 | Drs Odom Coburn and Richardson Pllc | Optometrist | 403 S Main, Eufaula, OK 74432 | 2010-12-28 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| Find all providers in zip 74432 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992725 | Randall Broome | Technician | 108 Cherokee Dr Apt 111a, Eufaula, AL 36027-9508 | 2020-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772314 | Jean Pittman | Technician | 1711 Ridgemont Cir, Norman, OK 73071-7422 | 2020-08-31 |
| 1548873805 | Monna K Billings | Technician | 9116 Nw 91st Cir, Yukon, OK 73099-8694 | 2020-08-26 |
| 1801405618 | Karen Durham | Technician | 1812 E 71st Pl Apt 2121, Tulsa, OK 74136-3967 | 2020-07-28 |
| 1821612672 | Sandra Spiegel | Technician | 114 S 74th St W, Muskogee, OK 74401-8655 | 2020-06-07 |
| 1447872494 | Michael Blake Weir | Technician | 413 Chief Stan Waite Dr, Catoosa, OK 74015-2134 | 2020-05-13 |
| 1205455409 | Kellie Elane Curtis | Technician | 13224 County Road 3590, Ada, OK 74820-0021 | 2020-04-09 |
| 1619596848 | Heidi R Presson | Technician | 416842 Muscogee Ln, Checotah, OK 74426-2359 | 2020-04-08 |
| 1396374468 | Patricia K Tlapak-giddens | Technician | 1008 Sw 63rd Street, Oklahoma City, OK 73139-1406 | 2020-04-02 |
| 1124654959 | Tiara Shacole Crawford | Technician | 1890 N Hartford Ave, Tulsa, OK 74106-3550 | 2020-03-12 |
| 1437782802 | Amber Hill | Technician | 1908 Nw Great Plains Blvd, Lawton, OK 73505-2829 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEVERLY ANN MANTOOTH.
| 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.