Amanda K Fireshaker

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

1697 S Greathouse Dr
Atoka, OK 74525-3407

Phone

(580) 889-5555

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1033809124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1697 S GREATHOUSE DR",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253407",
            "telephone_number": "580-889-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1697 S GREATHOUSE DR",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253407",
            "telephone_number": "580-889-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013642",
            "country_code": "US",
            "telephone_number": "580-931-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Highway 70 E Ste B",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "OK",
            "postal_code": "734398253",
            "country_code": "US",
            "telephone_number": "580-795-3794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIRESHAKER",
        "first_name": "AMANDA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Center of Southern Oklahoma Inc
• Family Health Center of Southern Oklahoma Inc
• Farris Public School
• Ann Faudree, MA
• Kaitlin M Fielding
• David L Fisher, PA-C
• Jada Fisher
• Jonna Marie Fite
• Joaquin Mauricio Forbes, M.D.
• Montana Forbis, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Atoka, OK
• Providers in Atoka, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.