MRS. SUSAN ANNETTE EVANS (NPI# 1952423147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952423147 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN ANNETTE EVANS |
| Credential | LPC |
| Practice Address |
1308 Cradduck Rd Ada OK 74820-8442 |
| Mailing Address |
414 E 15th St Ada OK 74820-6619 |
| Practice Telephone | 5803323699 |
| Practice Fax Number | 5804219828 |
| Mailing Telephone | 5804364390 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3398 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LPC | 3398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143446 | Susan Elizabeth Evans | Nurse Practitioner | 2540 Elko Rd, Elko, GA 31025-2202 | 2020-10-28 |
| 1841842085 | Susan Marie Evans | Home Health | 1319 Lyon St Apt B, Columbia, SC 29204-1993 | 2019-07-09 |
| 1174099352 | Susan Beth Evans | Occupational Therapist | 320 Town Center Blvd Ste C-101, White Lake, MI 48386-2183 | 2018-10-16 |
| 1760957773 | Susan Evans | Occupational Therapist | 443 Fairmont Ter, Port Charlotte, FL 33954-3462 | 2018-10-05 |
| 1932682630 | Susan Esther Evans | Occupational Therapist | 201 S Lloyd St Ste W210, Aberdeen, SD 57401-4521 | 2018-09-10 |
| 1659815850 | Susan Jane Evans | Counselor | 3836 Sacramento St, San Francisco, CA 94118-1626 | 2016-12-07 |
| 1023486693 | Susan Evans | Developmental Therapist | 4000 Eagle Point Corporate Dr Ste 500, Birmingham, AL 35242-1900 | 2015-09-12 |
| 1316296130 | Susan Evans | Physician Assistant | 1523 New York Ave, Brooklyn, NY 11210-2738 | 2012-09-07 |
| 1801198924 | Susan Gail Evans | Massage Therapist | 210 West Evergreen Elite Muscular Therapy, Suite 500, Vancouver, WA 98660 | 2010-11-22 |
| 1972753341 | Susan Evans | Social Worker | 4009 Pinecrest Dr, Champaign, IL 61822-9214 | 2008-09-23 |
| Street Address |
1308 CRADDUCK RD |
| City | ADA |
| State | OK |
| Zip Code | 74820-8442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841311982 | Joni Marie Fowler | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2007-04-03 |
| 1306382155 | Sharon Clements | Behavior Technician | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2017-01-17 |
| 1396187316 | Jordan Bullock | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2013-07-18 |
| 1104264464 | Dee Ann Jones | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2013-06-10 |
| 1295077147 | Marissa Danielle Madden | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2013-03-19 |
| 1255604716 | Eva Christine Johnson | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2012-02-14 |
| 1285949636 | Susan Dorothy Brecheen | Registered Nurse | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2010-08-10 |
| 1528263399 | Tera L Mccullar | Case Manager/Care Coordinator | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2007-06-20 |
| 1508087099 | Kimberly W Kaniatobe | Case Manager/Care Coordinator | 1308 Cradduck Rd, Ada, OK 74820 | 2007-05-01 |
| 1487875969 | Rachel D Houghland IIi | Student in an Organized Health Care Education/Training Program | 1308 Cradduck Rd, Ada, OK 74820 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194690 | A Calming Connection-counseling, LLC | Counselor | 14376 County Road 3490 Ada, Ok 74820, 14376 County Road 3490, Ada, OK 74820 | 2017-06-13 |
| 1023468287 | Steven Frank Gostele | Counselor | 510 N Highland St, Ada, OK 74820-4027 | 2016-06-20 |
| 1194105510 | Molly Rose Wilson | Counselor | 7195 Thornapple River Dr Se, Ada, MI 49301-8411 | 2015-06-01 |
| 1093145674 | Tamy Davenport | Counselor | 111 East 12th Street, Ada, OK 74820 | 2013-11-19 |
| 1811339294 | Derick Allen Eidson | Counselor | 19108 County Road 3560, Ada, OK 74820-0177 | 2013-07-25 |
| 1679913362 | Russell Andrew Brown | Counselor | 2036 Ahloso Rd., Ada, OK 74820 | 2013-06-27 |
| 1316281231 | David Hansard | Counselor | Recovery Resource Services, 1300 Hoppe Blvd; Suite 6, Ada, OK 74820 | 2012-11-15 |
| 1578816989 | Donald Cole Gallup | Counselor | 15867 County Road 3619 Loop, Ada, OK 74820-1443 | 2012-10-23 |
| 1598016693 | Diane M Lown | Counselor | 2950 Burwood Hill Ct, Ada, MI 49301-9448 | 2012-09-28 |
| 1982981106 | Joanine Marie Gibson | Counselor | 229 N Hope St, Ada, OK 74820-5228 | 2011-11-16 |
| Find all providers in ADA | ||||
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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.