CYNTHIA LYNN SISSOM (NPI# 1982845053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982845053 |
| Entity Type | Individual |
| Full Name | CYNTHIA LYNN SISSOM |
| Credential | LADC |
| Practice Address |
316 E Lee Ave Sapulpa OK 74066-4306 |
| Mailing Address |
Po Box 927 Sapulpa OK 74067-0927 |
| Practice Telephone | 9182279890 |
| Mailing Telephone | 9182279890 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
669 | OK | Behavioral Health & Social Service Providers |
| Street Address |
316 E LEE AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710299631 | Sherri L. Watson | Counselor | 519 S Independence St, Sapulpa, OK 74066-4043 | 2010-07-08 |
| 1194056374 | Brian Quinn Miller | Counselor | 2 N Water, Sapulpa, OK 74066 | 2010-01-27 |
| 1902047731 | Human Skills & Resources,inc. | Counselor | 27 E Dewey Ave, Sapulpa, OK 74066-4201 | 2009-03-06 |
| 1659598837 | Susan Annette Jones | Counselor | 2 North Water, Sapulpa, OK 74066 | 2007-04-19 |
| 1427065259 | Laura L. Savage | Counselor | 32 N Water St, Sapulpa, OK 74066-2816 | 2006-08-02 |
| 1538516133 | Barrie White | Counselor | 2 N Water St, Sapulpa, OK 74066-2816 | 2016-05-24 |
| 1023422276 | Chelsea Leigh Rank | Counselor | 2 N Water St, Sapulpa, OK 74066-2816 | 2014-06-16 |
| 1508283243 | Joseph Addison | Counselor | 2 N Water St, Sapulpa, OK 74066-2816 | 2014-03-19 |
| 1417293911 | Shelly Folta | Counselor | 2 N Water St, Sapulpa, OK 74066-2816 | 2013-01-02 |
| 1215160999 | Patricia W Conner Doss | Counselor | 2 N Water St, Sapulpa, OK 74066-2816 | 2009-08-28 |
| Find all providers in SAPULPA | ||||
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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.