MISS JESSICA LYNELLE DODGE (NPI# 1962510768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962510768 |
| Entity Type | Individual |
| Full Name | MISS JESSICA LYNELLE DODGE |
| Credential | BA |
| Practice Address |
1501 W. Commerce Yukon OK 73099 |
| Mailing Address |
2609 Featherstone Rd Apt 540 Oklahoma City OK 73120-2105 |
| Practice Telephone | 4053541927 |
| Practice Fax Number | 4053543927 |
| Mailing Telephone | 4058198500 |
| Enumeration Date | 2006-08-29 |
| 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 |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362791 | Jessica Dodge | Dentist | 2650 Washburn Way Unit 210, Klamath Falls, OR 97603-4593 | 2019-02-16 |
| 1932631231 | Jessica Dodge | Student in an Organized Health Care Education/Training Program | 300 Brookline Ave, Rabb-2, Boston, MA 02215-5403 | 2017-03-28 |
| 1205383676 | Jessica K Dodge | Psychologist | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2016-09-02 |
| 1306963772 | Jessica T. Dodge | Physician Assistant | 2727 Mariposa St Ste 100, Rape Treatment Center, San Francisco, CA 94110-1400 | 2007-03-23 |
| 1134176522 | Jessica L Dodge | Pathology | 24 Hospital Ave, Department of Pathology, Danbury, CT 06810-6099 | 2006-05-30 |
| Street Address |
1501 W. COMMERCE |
| City | YUKON |
| State | OK |
| Zip Code | 73099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881607539 | Hollie Dionna Parks | Counselor | 1501 W. Commerce, Yukon, OK 73099 | 2006-08-14 |
| 1386927945 | Levi Jack Taylor | Counselor | 1501 W. Commerce, Yukon, OK 73099 | 2011-09-21 |
| 1659546539 | Elizabeth Renee-toth Chenoweth | Counselor | 1501 W. Commerce, Yukon, OK 73099 | 2008-04-23 |
| 1265619977 | Drew Miles Watson | Counselor | 1501 W. Commerce, Yukon, OK 73099 | 2008-01-24 |
| 1578576229 | Mindy Lee Baker | Counselor | 1501 W. Commerce, Yukon, OK 73099 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518477678 | Venice L. Thomas Jr. | Counselor | 12116 Sw 10th St, Yukon, OK 73099-7041 | 2017-10-03 |
| 1942656756 | Kimberly Sober | Counselor | 1812 Derail St, Yukon, OK 73099-3538 | 2016-05-11 |
| 1669834586 | Melody Ruth Daniels | Counselor | 773 Heather Ter, Yukon, OK 73099-3309 | 2016-03-22 |
| 1427418466 | Emily Tate | Counselor | 1601 Health Center Parkway Building 600, Suite 5, Yukon, OK 73099 | 2016-03-03 |
| 1679957856 | Nathaniel Jones Jr. | Counselor | 10104 Dale Ln, Yukon, OK 73099-8320 | 2015-07-16 |
| 1912384363 | Jessena Samuel Varghese | Counselor | 9929 Birkenhead Ct, Yukon, OK 73099-7945 | 2015-05-05 |
| 1427499508 | Harland Warrior | Counselor | 7708 Harold Dr, Yukon, OK 73099-9745 | 2013-07-17 |
| 1790028504 | Joel Salazar | Counselor | 616 Woodlawn Dr, Yukon, OK 73099-5314 | 2013-03-29 |
| 1851631519 | Corey Odell Raney | Counselor | 3509 Tecumseh Dr, Yukon, OK 73099-4319 | 2013-02-18 |
| 1972840809 | Ana Isabel Martinez | Counselor | 10100 Bradford Way, Yukon, OK 73099-7640 | 2013-01-11 |
| Find all providers in YUKON | ||||
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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.