JAN LESLIE BACON (NPI# 1891778122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891778122 |
| Entity Type | Individual |
| Full Name | JAN LESLIE BACON |
| Credential | A.P.R.N. |
| Practice Address |
700 Wall St Norman OK 73069 |
| Mailing Address |
900 N Porter Ave Suite 310 Norman OK 73071-6424 |
| Practice Telephone | 4053607337 |
| Practice Fax Number | 8662590044 |
| Mailing Telephone | 4055791653 |
| Mailing Fax Number | 4053606315 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2013-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R0040808 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457335820 | Jan Garver Bacon | Psychologist | 9125 Bridgeport Way Sw Ste 102, Lakewood, WA 98499-2448 | 2005-11-30 |
| Street Address |
700 WALL ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335527 | Victor Thomas Wilson | Pediatrics | 700 Wall St, Norman, OK 73069-6360 | 2005-06-02 |
| 1477633121 | Victor T. Wilson Md PC | Pediatrics | 700 Wall St, Norman, OK 73069-6360 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968695 | Christi Howell | Nurse Practitioner | 2304 Burning Tree, Norman, OK 73071-3919 | 2020-09-30 |
| 1265071922 | Kristi Michelle Cooksey | Nurse Practitioner | 4713 Marston Ct, Norman, OK 73072-3116 | 2019-12-29 |
| 1740715630 | Misty Dean, Inc | Nurse Practitioner | 4401 Se 37th St, Norman, OK 73071-8138 | 2017-04-27 |
| 1922188705 | Melinda Kay Jones | Nurse Practitioner | 2600 W Robinson St, Norman, OK 73069-6359 | 2006-10-16 |
| 1225138522 | Nancy L Vinson | Nurse Practitioner | 1618 Beverly Hills St, Norman, OK 73072-5911 | 2006-09-25 |
| 1356995476 | Kristie Michelle Mcguire | Nurse Practitioner | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2019-07-26 |
| 1619538469 | Lindsay Erin Aguilar | Nurse Practitioner | 1139 36th Ave Nw, Norman, OK 73072-4103 | 2019-06-24 |
| 1235672940 | Krupa Mathew | Nurse Practitioner | 3400 W Tecumseh Rd Ste 300, Norman, OK 73072-1812 | 2016-11-29 |
| 1538614128 | Monica Lawson | Nurse Practitioner | 701 E Robinson St, Norman, OK 73071-6652 | 2016-08-24 |
| 1962887653 | Kacy Lynn Aderhold | Nurse Practitioner | 3500 Healthplex Pkwy, Ste 201, Norman, OK 73072-9738 | 2015-07-23 |
| Find all providers in NORMAN | ||||
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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.