TABITHA JEAN PARKS (NPI# 1962055707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962055707 |
| Entity Type | Individual |
| Full Name | TABITHA JEAN PARKS |
| Credential | APRN-CNP PEDIATRICS |
| Practice Address |
1505 E Main St Stigler OK 74462-2913 |
| Mailing Address |
Po Box 179 Stigler OK 74462-0179 |
| Practice Telephone | 9189673368 |
| Practice Fax Number | 9189673351 |
| Mailing Telephone | 9189673368 |
| Mailing Fax Number | 9189674582 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
115890 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1505 E MAIN ST |
| City | STIGLER |
| State | OK |
| Zip Code | 74462-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891752853 | Stigler Health and Wellness Center Inc | Clinic/Center | 1505 E Main St, Stigler, OK 74462-2913 | 2006-04-26 |
| 1598387607 | Traci Lee | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2020-05-12 |
| 1336761881 | Bailey A Upton | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2020-05-07 |
| 1861024853 | Jesse A Gilmore | Dietitian, Registered | 1505 E Main St, Stigler, OK 74462-2913 | 2020-02-07 |
| 1114565330 | David Mitch Sutter | Peer Specialist | 1505 E Main St, Stigler, OK 74462-2913 | 2019-12-18 |
| 1720620917 | Billy Joe Dickson | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-09 |
| 1760024020 | Cassondra Jade Tidwell-basham | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| 1568004828 | Jaimie Kinslow | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| 1326680687 | Jessica Mcgrew | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| 1164064424 | Laycee Collins | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275986879 | Amy Garman | Occupational Therapy Assistant | 392 W Brooken Mtn Rd, Stigler, OK 74462 | 2016-07-19 |
| 1528407624 | Thompson Hometown Eyecare LLC | Optometrist | 111 N. Broadway, Stigler, OK 74462 | 2013-06-21 |
| 1245579952 | United Partners Healthcare 2, Inc. | Home Health | 903 West Main Street, Stigler, OK 74462 | 2013-02-01 |
| 1164791745 | Teresa Lynn Lindsy | Psychologist | 208 N.e. 8th St, Stigler, OK 74462 | 2011-12-28 |
| 1700168994 | Counseling Services of Leflore County | Community/Behavioral Health | 605 E Main Street, Stigler, OK 74462 | 2011-09-13 |
| 1447561584 | Cah Acquisition Company 16 LLC | Clinic/Center | 901 Nw 6th Street, Stigler, OK 74462 | 2010-06-23 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1114241239 | Jack H Wilson | Counselor | 11730 Highway 9 West, Stigler, OK 74462 | 2010-03-18 |
| 1346563707 | Jack N. Sellers Dds, P.C. | Dentist | 103 N.w. 9th Street, Stigler, OK 74462 | 2010-03-12 |
| 1538490842 | Michael R Clark | Chiropractor | 804 S.e. 3rd St., Stigler, OK 74462 | 2010-01-26 |
| Find all providers in zip 74462 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508886839 | Donna M Horton | Nurse Practitioner | 1505 E Main St, Stigler, OK 74462-2913 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383378 | Lindsey Lauren Givens | Nurse Practitioner | 17513 Aragon Ln, Oklahoma City, OK 73170-9209 | 2019-12-20 |
| 1801453493 | Anna Pauline Reed | Nurse Practitioner | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2019-05-20 |
| 1639631781 | April Keith | Nurse Practitioner | 11204 Katie Beth Cir, Oklahoma City, OK 73170-8403 | 2019-04-05 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1740756840 | Darshi Wickrama Edirisooriya | Nurse Practitioner | 1001 N Florence Ave, Claremore, OK 74017-6207 | 2018-10-17 |
| 1922518232 | Bryan Marshall Tison | Nurse Practitioner | 2000 E 15th St Ste 400a, Edmond, OK 73013-6673 | 2017-10-02 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
| 1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
| 1760922678 | Carissa Declerck | Nurse Practitioner | 1200 Childrens Ave Ste 2f, Oklahoma City, OK 73104-4637 | 2017-02-27 |
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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.