TAMERA RUSSELL (NPI# 1972978567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972978567 |
| Entity Type | Individual |
| Full Name | TAMERA RUSSELL |
| Practice Address |
304 S 29th St Chickasha OK 73018-2501 |
| Practice Telephone | 4058968058 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 55586 | OK | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OK 55586 | 55586 | 01 |
| Street Address |
304 S 29TH ST |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73018-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438501 | John C Vallandigham | Internal Medicine | 304 S 29th St, Chickasha, OK 73018-2501 | 2005-06-22 |
| 1811548894 | Catina Louise Anderson | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2019-09-22 |
| 1043782634 | Alisa Tarasova | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2018-12-20 |
| 1326517731 | Antonise Johnson | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2018-11-14 |
| 1336617943 | Rita E Mba-etuge | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2018-11-13 |
| 1588148951 | Bryan E Lehman | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2018-09-20 |
| 1134659733 | Eunhye Steele | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018 | 2017-06-15 |
| 1760933055 | Terri G. Wilson | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2016-10-20 |
| 1407221179 | Corinna Taylor | Licensed Practical Nurse | 304 S 29th St, Chickasha, OK 73018-2501 | 2015-12-07 |
| 1518331180 | Tandye Ryans | Licensed Practical Nurse | 304 S 29th St, Chickasha, OK 73018-2501 | 2015-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
| 1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
| 1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
| 1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
| 1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
| 1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
| Find all providers in zip 73018 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407221179 | Corinna Taylor | Licensed Practical Nurse | 304 S 29th St, Chickasha, OK 73018-2501 | 2015-12-07 |
| 1518331180 | Tandye Ryans | Licensed Practical Nurse | 304 S 29th St, Chickasha, OK 73018-2501 | 2015-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777634 | Karen Ann Crosby | Licensed Practical Nurse | 205 E Ninth St, Wright City, OK 74766 | 2020-10-12 |
| 1013514504 | Tammie Renee Langford | Licensed Practical Nurse | 417952 E 1910 Rd, Antlers, OK 74523-7441 | 2020-10-07 |
| 1033722145 | Karen Gail Nickels | Licensed Practical Nurse | 29408 S 548 Rd, Cookson, OK 74427-2423 | 2020-08-28 |
| 1942825872 | Larita Leake | Licensed Practical Nurse | 10404 Vineyard Blvd Ste C, Oklahoma City, OK 73120-3739 | 2020-06-16 |
| 1568028355 | Kimberly Dawn Richardson | Licensed Practical Nurse | 9213 Ne 10th St, Midwest City, OK 73130-1317 | 2019-05-16 |
| 1265992515 | Jacqueline Chanthay Williams | Licensed Practical Nurse | 1323 E Ash St, Altus, OK 73521-2908 | 2019-03-22 |
| 1114484623 | Sabrina Susie Rocha | Licensed Practical Nurse | 9811 E 12th St, Tulsa, OK 74128-3803 | 2019-02-21 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1003388497 | Katrina Ann Bush | Licensed Practical Nurse | 1721 E Omaha St Apt B3, Broken Arrow, OK 74012-0363 | 2018-12-22 |
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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.