ZONA WHITEWATER (NPI# 1912236852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912236852 |
| Entity Type | Individual |
| Full Name | ZONA WHITEWATER |
| Credential | M.B.S. |
| Practice Address |
2530 So. Commerce Bldg. B Ardmore OK 73402 |
| Mailing Address |
529 Quail Hollow Rd Sulphur OK 73086-8948 |
| Practice Telephone | 5802235636 |
| Mailing Telephone | 5806224103 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2530 SO. COMMERCE BLDG. B |
| City | ARDMORE |
| State | OK |
| Zip Code | 73402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710136015 | Lynette Yvonne Spradling | Counselor | 2530 S Commerce Street, Ardmore, OK 73402 | 2008-09-11 |
| 1407952682 | Robert E. Lee | Social Worker | 2530 S. Commerce Bldg A, Ardmore, OK 73402 | 2006-09-15 |
| 1932332467 | Kathleen Mckinney | Counselor | 2530 South Commerce Street, Building A, Ardmore, OK 73402 | 2009-09-01 |
| 1215121447 | Leah Danielle Bramlett | Counselor | 2530 S. Commerce, Bldg. B, Ardmore, OK 73402 | 2007-08-30 |
| 1518169606 | Deana Marie Tharp | Counselor | 2530 S. Commerce St., Ardmore, OK 73402-0189 | 2007-06-01 |
| 1316188527 | Syndy Fay Redmon | Counselor | 2530 South Commerce, Ardmore, OK 73402-0189 | 2009-03-18 |
| 1922266964 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | #2 Broadlawn, Ardmore, OK 73402-1722 | 2008-05-27 |
| 1053465047 | Oklahoma Association for Retarded Citizens Carter County | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 108 3rd Avenue South West, Ardmore, OK 73402-1944 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528247 | Bradley Taylor | Student in an Organized Health Care Education/Training Program | 808 Carter St Se, Ardmore, OK 73401-8524 | 2020-11-04 |
| 1194330811 | Good Shepherd Hospice of Ardmore, LLC | Hospice Care, Community Based | 1505 N Commerce St Ste 204, Ardmore, OK 73401-1859 | 2020-09-10 |
| 1861006157 | Emily Salkever-scott | Counselor | 28 S Wyoming Ave, Ardmore, PA 19003-1227 | 2020-09-03 |
| 1063025336 | Vaughan Family Dentistry, PC | Dentist | 27001 Main St., Ardmore, TN 38449 | 2020-08-26 |
| 1962013813 | Lake Country Orthodontics | Dentist | 1119 Walnut Dr Ste 4, Ardmore, OK 73401-2360 | 2020-08-13 |
| 1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1043831027 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6 Coulter Ave, Ardmore, PA 19003-2335 | 2020-05-01 |
| 1336760479 | Cooper Little | Student in an Organized Health Care Education/Training Program | 337 Chateau Bnd, Ardmore, OK 73401-7675 | 2020-04-29 |
| 1770116329 | Zoom Diagnostic Imaging Ardmore LLC | Clinic/Center | 1228 Merrick Dr, Ardmore, OK 73401-1824 | 2020-02-21 |
| Find all providers in ARDMORE | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215594486 | Tammey Lee Cooper | Case Manager/Care Coordinator | 98 Broadlawn Shopping Ctr, Ardmore, OK 73401-1723 | 2019-05-23 |
| 1801459243 | Z Hubbard | Case Manager/Care Coordinator | 1219 K St Nw Ste 2, Ardmore, OK 73401-1801 | 2019-04-22 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1356722094 | Fran Growall | Case Manager/Care Coordinator | 3367 Plainview Rd, Ardmore, OK 73401-0714 | 2015-06-17 |
| 1730570094 | Ashley Nicole Avery | Case Manager/Care Coordinator | 1310 Summer Rd, Ardmore, OK 73401-8352 | 2015-02-09 |
| 1316351505 | Cassie Ramsey | Case Manager/Care Coordinator | 110 Ruidosa St, Ardmore, OK 73401-7231 | 2014-06-16 |
| 1831519339 | Brandii Houchin | Case Manager/Care Coordinator | 114 Allen Dr, Ardmore, OK 73401-2008 | 2014-04-23 |
| 1225459506 | Audra M Gordon | Case Manager/Care Coordinator | 511 Lake Murray Drive E., Ardmore, OK 73401 | 2014-01-03 |
| 1578809570 | Glenda Brown | Case Manager/Care Coordinator | 1301 Kiowa Nw, Ardmore, OK 73401 | 2012-12-19 |
| 1316141336 | Karen Beth Patterson | Case Manager/Care Coordinator | 2530 S Commerce B, Ardmore, OK 73401 | 2007-06-13 |
| Find all providers in ARDMORE | ||||
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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.