MANDI FADDIS (NPI# 1912454075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912454075 |
| Entity Type | Individual |
| Full Name | MANDI FADDIS |
| Practice Address |
Rt 3 Box 2510 Stilwell OK 74960 |
| Practice Telephone | 9187233181 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
RT 3 BOX 2510 |
| City | STILWELL |
| State | OK |
| Zip Code | 74960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1356983324 | Jessica Ann Jarvis | Technician | Stilwell Public School, 520 W. Division St., Stilwell, OK 74960 | 2019-10-11 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1902321797 | Rocky Mountain School District No 24 | Local Education Agency (LEA) | Rr 1, B 665, Stilwell, OK 74960 | 2017-08-14 |
| 1932566601 | Mandy Richardson | Technician | 1801 S Loucust, Stilwell, OK 74960 | 2016-01-26 |
| 1396129557 | Matthew Glenn Reece | Dentist | Hwy 51 East, Stilwell, OK 74960 | 2015-07-16 |
| 1316360654 | Diana Miller | Counselor | 110 W Maple St, Stilwell, OK 74960 | 2014-01-22 |
| 1356789838 | Sandra Marie Holmes | Speech-Language Pathologist | 100 Maryetta Road, Stilwell, OK 74960 | 2013-06-06 |
| 1306118831 | Joseph William Taylor | Counselor | Rr 1 Box 1536, Stilwell, OK 74960 | 2012-01-30 |
| 1033494224 | Crystal Cox | Counselor | Rt 1 Box 1145, Stilwell, OK 74960 | 2011-10-19 |
| Find all providers in zip 74960 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203897 | Rylea Anne Johnson | Technician, Other | 2240 36th Ave Nw Ste 100&110, Norman, OK 73072-3251 | 2020-01-03 |
| 1356869952 | Martha Jean Crowe | Technician, Other | 1916 E. Perkins, Guthrie, OK 73044 | 2017-09-03 |
| 1487195376 | Pam Thurber | Technician, Other | 500 N Chincapin, Westville, OK 74965 | 2017-03-13 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1134577570 | Misty Brown | Technician, Other | 500 West Chincapin, Westville, OK 74965 | 2016-05-26 |
| 1073960738 | Melanie Green | Technician, Other | 500 W Chincapin, Westville, OK 74965 | 2016-05-23 |
| 1497102149 | Dalaina Kristin Smart | Technician, Other | 500 W. Chincapin St., Westville, OK 74965 | 2016-05-23 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1932522448 | Bethany Lusk | Technician, Other | 5126 S Trenton Ave, Tulsa, OK 74105-5717 | 2014-02-04 |
| 1659612281 | Bryan Henry Lafuente | Technician, Other | 229 Nw 9th St, Suite 1, Oklahoma City, OK 73102-2619 | 2013-03-06 |
| Find all providers with the same taxonomy | ||||
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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.