LIELANI M TULL (NPI# 1932396470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932396470 |
| Entity Type | Individual |
| Full Name | LIELANI M TULL |
| Practice Address |
2307 S Gordon Cooper Dr Shawnee OK 74801-9007 |
| Practice Telephone | 4058784693 |
| Practice Fax Number | 4058784690 |
| Mailing Telephone | 4058784693 |
| Mailing Fax Number | 4058784690 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
2307 S GORDON COOPER DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871571901 | Carrie Ann Wood | Internal Medicine | 2307 S Gordon Cooper Dr, Shawnee, OK 74801 | 2006-01-09 |
| 1952678518 | Dana Marie Kelley | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2011-11-28 |
| 1326348095 | Tina Louise Ferguson | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-10-28 |
| 1528375359 | Betty Jane Nicholson | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-08-31 |
| 1669786208 | Latisha Lynn Bader | Psychologist | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-08-05 |
| 1598954695 | Christia Ann Hallinan | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-10-15 |
| 1962699884 | Samantha Rae Manion | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-25 |
| 1952597833 | Amanda Kaylene Felkner | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-24 |
| 1104012301 | Aubre Ann Reed | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-20 |
| 1417159690 | Ray Tainpeah | Counselor | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538358346 | Cindy Rebecca Kelly | Clinic/Center | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-10-17 |
| 1952597833 | Amanda Kaylene Felkner | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-24 |
| 1104012301 | Aubre Ann Reed | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-20 |
| 1336342963 | Fastcare Medical Clinic of Shawnee | Clinic/Center | 1605 N Harrison St, Shawnee, OK 74804-4036 | 2007-06-10 |
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|---|---|---|---|---|
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| 1033521430 | The Back Stop LLC | Clinic/Center | 373 S Yukon Pkwy Ste C, Yukon, OK 73099-4597 | 2014-05-20 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1972863041 | Fgg LLC | Clinic/Center | 755 Jenkins Ave, Norman, OK 73069-4951 | 2012-05-23 |
| 1992008072 | Arthritis & Rheumatology Center of Oklahoma | Clinic/Center | 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | 2010-12-13 |
| 1598072050 | Health Watch Medical Center | Clinic/Center | 1924 N Portland Ave, Oklahoma City, OK 73107-1532 | 2010-09-04 |
| 1922313972 | Clear Focus Cv Ultrasound Services | Clinic/Center | 502 Oak, Ardmore, OK 73401-3830 | 2010-08-15 |
| 1215172804 | Med-labs LLC | Clinic/Center | 11014 E 51st St, Tulsa, OK 74146-5820 | 2008-12-10 |
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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.