JACQUELINE R FROESE (NPI# 1881128775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881128775 |
| Entity Type | Individual |
| Full Name | JACQUELINE R FROESE |
| Other Name | JACQUELINE R WADE |
| Credential | APRN |
| Practice Address |
1145 S Utica Ave Ste 110 Tulsa OK 74104-4000 |
| Mailing Address |
1120 S Utica Ave Tulsa OK 74104-4012 |
| Practice Telephone | 9185603823 |
| Practice Fax Number | 9185605761 |
| Mailing Telephone | 9185603823 |
| Mailing Fax Number | 9185605761 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
123756 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1145 S UTICA AVE STE 110 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133024 | Michael Opong-kusi | Family Medicine | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 | 2005-09-08 |
| 1639631690 | Gautami Gandham | Student in an Organized Health Care Education/Training Program | 1145 S Utica Ave, Tulsa, OK 74104-4000 | 2019-04-01 |
| 1265948269 | Linda Ellard | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4041 | 2017-12-28 |
| 1972038602 | Laquichesha Trotter | Nurse Practitioner | 1145 S Utica Ave, Suite 364, Tulsa, OK 74104-4000 | 2017-05-01 |
| 1265966980 | Jubin Sadeghian | Student in an Organized Health Care Education/Training Program | 1145 S Utica Ave, Tulsa, OK 74104-4000 | 2017-04-19 |
| 1861931891 | Brittany Goodin | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 | 2017-02-23 |
| 1447796545 | Haresh K Ajmera Md Inc | Specialist | 1145 S Utica Ave, Suite 500, Tulsa, OK 74104-4014 | 2017-01-12 |
| 1396281937 | Chih-ying Lee | Physician Assistant | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 | 2017-01-06 |
| 1023562204 | Katie Rodgers | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 | 2016-08-05 |
| 1477905669 | Total Care Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1145 S Utica Ave, Suite G 12, Tulsa, OK 74104-4000 | 2016-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1235742941 | Emily Christine Cobbs | Nurse Practitioner | 5740 E 29th St, Tulsa, OK 74114-6408 | 2020-08-24 |
| 1184234742 | Jenni Rigney | Nurse Practitioner | 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 | 2020-08-07 |
| 1477163087 | Amy Marie Thomas | Nurse Practitioner | 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 | 2020-08-07 |
| 1225653512 | Channel Johnson | Nurse Practitioner | 766 N Zenith Ave, Tulsa, OK 74127-5232 | 2020-06-11 |
| 1326663857 | Bethany Lemley | Nurse Practitioner | 1217 S Atlanta Pl, Tulsa, OK 74104-4310 | 2020-06-10 |
| 1952939340 | Kairie Swift | Nurse Practitioner | 3321 S Yale Ave, Tulsa, OK 74135-8011 | 2020-03-31 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1871126573 | Chelsea Allen | Nurse Practitioner | 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 | 2020-02-20 |
| 1982255352 | Crystal L Gazda | Nurse Practitioner | 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 | 2019-09-26 |
| Find all providers in TULSA | ||||
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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.