LEISHKA CORDERO (NPI# 1962924183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962924183 |
| Entity Type | Individual |
| Full Name | LEISHKA CORDERO |
| Practice Address |
502 E Cincinnati Ave Muskogee OK 74403-5535 |
| Mailing Address |
1300 N Cedar Ave Apt 31 Tahlequah OK 74464-6736 |
| Practice Telephone | 9186811113 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
502 E CINCINNATI AVE |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-5535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225110539 | Blue Sky Behavioral Health, Inc. | Counselor | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2006-10-19 |
| 1104246891 | Rebecca Turnham | Counselor | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2014-04-21 |
| 1316219363 | Alicia F Dickens | Counselor | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2012-02-07 |
| 1043582125 | Patricia Katherine Rice | Social Worker | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2012-02-03 |
| 1134401839 | Loretta A Jones | Social Worker | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2011-09-19 |
| 1467732149 | Blue Sky Behavior Al Health Inc | Social Worker | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2011-08-25 |
| 1710270558 | Joy Mcgee | Counselor | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2011-05-26 |
| 1326367889 | Cindy Bass | Social Worker | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2010-05-24 |
| 1962721852 | Andrea Jo Mccause | Counselor | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2010-05-18 |
| 1588995153 | Elsie G Welch | Counselor | 502 E Cincinnati Ave, Muskogee, OK 74403-5535 | 2010-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992807861 | Oklahoma Families First Inc | Clinic/Center | 928 N York St Ste 44b, Muskogee, OK 74403 | 2006-09-02 |
| 1356875595 | Yco Tulsa, Inc | Clinic/Center | 1305 S Country Club Rd, Muskogee, OK 74403-7802 | 2017-04-14 |
| 1992248082 | Green Country Behavioral Health Services, Inc | Clinic/Center | 619 N Main St, Muskogee, OK 74401-4431 | 2016-11-22 |
| 1205267010 | Joe Mcdaniel | Clinic/Center | 1700 W Broadway St, Muskogee, OK 74401-3340 | 2013-12-03 |
| 1336203132 | Green Country Behavioral Health Services, Inc. | Clinic/Center | 619 N Main St, Muskogee, OK 74401-4431 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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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.