KRISTY DAWN FORD (NPI# 1891353819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891353819 |
Entity Type | Individual |
Full Name | KRISTY DAWN FORD |
Credential | MS |
Practice Address |
801 E Main St Tishomingo OK 73460-2351 |
Mailing Address |
2023 W Mcgill Cir Eufaula OK 74432-4309 |
Practice Telephone | 5803713776 |
Practice Fax Number | 5803712056 |
Mailing Telephone | 9184900217 |
Mailing Fax Number | 5803712056 |
Enumeration Date | 2019-06-04 |
Last Update Date | 2019-06-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356888754 | Kristy M. Ford | Counselor | 5137 Menawa Trl, Marianna, FL 32446-0148 | 2017-01-23 |
1316444243 | Kristy Kester Ford | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-04-08 |
Street Address |
801 E MAIN ST |
City | TISHOMINGO |
State | OK |
Zip Code | 73460-2351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215498449 | Ellen J Chapman | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2019-03-29 |
1629503354 | Jimmy Dewayne Spence | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2017-05-01 |
1114321478 | Mathew Thomas | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2014-10-15 |
1841612751 | Ruth Mcgraw | Case Management | 801 E Main St, Tishomingo, OK 73460-2351 | 2014-01-11 |
1831525591 | Cade Joseph Kennison | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-09-25 |
1912330713 | Shannon Nicole Hughes | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-08-15 |
1144666868 | Sheila D Jones | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-21 |
1336585652 | Jamie Griffith | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-14 |
1891037412 | Ashley Elizabeth Stacy | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-03-21 |
1205177540 | Julie B Carroll | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-03-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
Find all providers in zip 73460 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
1720417652 | Candice Oliver | Counselor | 202 South Broadway B2, Tishomingo, OK 73406 | 2013-11-01 |
1386083988 | Danielle Ophellia Brown | Counselor | 605 E 8th, Tishomingo, OK 73460-2351 | 2013-06-18 |
1124462825 | Ronald Ray Hart | Counselor | 1303 E Cheadle Rd, Tishomingo, OK 73460-4205 | 2013-04-24 |
1508115791 | Steve Devol Cheadle | Counselor | 304 S Muldrow St, Tishomingo, OK 73460-2733 | 2012-09-03 |
1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
1083919179 | Teresa Wilie Kennison | Counselor | 1350 S Muldrow St, Tishomingo, OK 73460-3278 | 2011-01-20 |
1952628612 | Shanna Hobbs | Counselor | 608 East 24th, Tishomingo, OK 73460 | 2010-04-21 |
1417273483 | Lacy Anne Borengasser | Counselor | 705 W Main, Pennington Creek Lifehouse, Tishomingo, OK 73460 | 2010-04-15 |
Find all providers in TISHOMINGO |
City | TISHOMINGO |
Zip Code | 73460 |
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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.