LATICIA ANNETTE KNAULS (NPI# 1932440609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932440609 |
| Entity Type | Individual |
| Full Name | LATICIA ANNETTE KNAULS |
| Other Name | LATICIA ANETTE JOHNSON |
| Practice Address |
205 S J T Stites Blvd Sallisaw OK 74955-9323 |
| Practice Telephone | 9187757787 |
| Practice Fax Number | 9187750328 |
| Mailing Telephone | 9187757787 |
| Mailing Fax Number | 9187750328 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
205 S J T STITES BLVD |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427364827 | Lindsie Rae Dyer | Behavioral Analyst | 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 | 2010-08-23 |
| 1962895383 | Lauren Sanford | Counselor | 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 | 2015-03-10 |
| 1932501343 | Cherrie Foster | Counselor | 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 | 2014-09-17 |
| 1326468570 | Jimmie Fite | Counselor | 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 | 2014-04-25 |
| 1225470149 | Sharon Sue Day | Counselor | 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 | 2013-07-19 |
| 1386085728 | Amanda Renee Shackelford | Counselor | 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 | 2013-07-15 |
| 1134468432 | Katherine Marie Denny | Counselor | 205 S J T Stites Blvd, Sallisaw, OK 74955-0931 | 2013-02-06 |
| 1831436377 | Taylor Rae Chadwell | Counselor | 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1528406477 | Rikki Jo Sanders | Counselor | 210 E Creek Ave, Sallisaw, OK 74955-4608 | 2013-06-12 |
| 1558680181 | Judith Anderson | Counselor | 117 N Ash St, Sallisaw, OK 74955-4201 | 2010-05-21 |
| 1437354859 | Mary Blevins | Counselor | 101 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2007-06-16 |
| 1992834964 | Purvell Inc | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2007-03-05 |
| 1437418720 | Joseph Charles Hatfield | Counselor | 205 S. Jt Stites, Sallisaw, OK 74955 | 2012-05-08 |
| 1518273788 | Tierney Lamp | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-08-26 |
| 1497993075 | Jana Lynn Hightower | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2009-02-04 |
| 1376781054 | Vicki Lynn White | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2009-02-03 |
| 1578737581 | Deborah Jewell Patton | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2008-04-22 |
| Find all providers in SALLISAW | ||||
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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.