CYNOVAH SHANTE ROBERTS (NPI# 1881988947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881988947 |
| Entity Type | Individual |
| Full Name | CYNOVAH SHANTE ROBERTS |
| Credential | LADC US |
| Practice Address |
1301 Se 59th St Oklahoma City OK 73129-7307 |
| Mailing Address |
3222 N Holman Ct Midwest City OK 73110-7209 |
| Practice Telephone | 4056703033 |
| Mailing Telephone | 4053616256 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2013-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OK | Behavioral Health & Social Service Providers |
| Street Address |
1301 SE 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73129-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826138 | Crossroads Hospice of Oklahoma City, LLC | Hospice Care, Community Based | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2006-06-07 |
| 1588299952 | Randi June Jones | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2020-03-06 |
| 1134679996 | Ebony Wolfe | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2016-10-05 |
| 1457717928 | Dyanna Johnston | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2016-01-13 |
| 1689912354 | Linda Ann Byers | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2013-01-30 |
| 1730468927 | Michael Moore | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2011-08-05 |
| 1376742585 | Absentee Shawnee Counseling Services | Rehabilitation, Substance Use Disorder Unit | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-07-17 |
| 1386865517 | James E Barton | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598291098 | Homero Rivera | Case Manager/Care Coordinator | 105 Se 30th St., Oklahoma City, OK 73129 | 2017-05-04 |
| 1437515038 | Arturo Pinon | Case Manager/Care Coordinator | 617 Se 18th St., Oklahoma City, OK 73129 | 2016-01-12 |
| 1578969283 | Ramona Paulette Gregory | Case Manager/Care Coordinator | 116 Se 22nd St, Oklahoma City, OK 73129 | 2014-11-06 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1861725301 | Nicholle Marie Verhines | Counselor | 744 S.e. 25th Street, Oklahoma City, OK 73129 | 2009-09-16 |
| 1174728620 | Lindsay Renae Sullivan | Counselor | 744 Se 25th St., Oklahoma City, OK 73129 | 2007-06-15 |
| 1780776153 | Laura Christine Balliett-box | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-09-29 |
| 1639451511 | Christina Dawn Adkins | Pharmacist | 4500 S Shields Blvd, Oklahoma City, OK 73129 | 2011-09-15 |
| 1235255746 | Felicia Dawn Cummings | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2007-03-22 |
| 1427134022 | Cyvil Brion Burks | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-10-27 |
| Find all providers in zip 73129 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| 1376185934 | Kevin Pierson | Counselor | 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 | 2019-10-15 |
| 1922651249 | Timothy Aaron Vick | Counselor | 5101 Nw 26th St, Oklahoma City, OK 73127-1723 | 2019-07-17 |
| 1093378218 | Crentha S Turner | Counselor | 11227 Nile Ave, Oklahoma City, OK 73114-7071 | 2019-04-15 |
| 1720564933 | Dawn Lea Long Counseling LLC | Counselor | 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 | 2018-07-11 |
| 1902395494 | Tisha Lee Rodriguez | Counselor | 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 | 2018-05-09 |
| 1306349378 | Charlene Hester | Counselor | 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 | 2018-03-15 |
| 1114425121 | Jacob Ian Arnold | Counselor | 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 | 2018-01-24 |
| 1225546534 | Christopher Dewayne Grant | Counselor | 807 Ne 21st St, Oklahoma City, OK 73105-8213 | 2018-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
Please comment or provide details below to improve the information on CYNOVAH SHANTE ROBERTS.
| 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.