State of Oklahoma

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

WVC2007006 Issued in OK

Legal business name

STATE OF OKLAHOMA

Practice address

10014 SE 1138TH Street
Talihina, OK 74571-6028

Phone

(918) 567-2251

Fax

(918) 567-2251

NPI assigned

May 23, 2008

Last updated

Jun 29, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF OKLAHOMA DEPT OF VETERANSAs reported in NPPES

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

Authorized official

Name

Ms. Ermie C Williams, R.N.

Title

Compliance Director

Phone

(405) 523-4007

Specialties & licenses 1

Addresses

Other names 1

• Oklahoma Department of Veterans Affairs Other name

Part of

Carl Albert Comm Ment H

Locations

Practitioners 188

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linta Abraham, M.D.

  • Psychiatry Physician
  • Norman, OK
  • NPI 1245487628
  NPD
• Ernest Tabi Abunaw, M.D.

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1811558844
  NPD
• Jan Adkins

  • Mental Health Counselor
  • Norman, OK
  • NPI 1740914753
  NPD
• Mohamad Alrifai, DO

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1164092730
  NPD
• Karmen Ann Andrews, MPC, LPC

  • Counselor
  • Alva, OK
  • NPI 1689821209
  NPD
• Stanley P Ardoin, MD

  • Psychiatry Physician
  • Norman, OK
  • NPI 1649366998
  NPD
• Kaitlin B Baker, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • McAlester, OK
  • NPI 1396248456
  NPD
• Lori Jean Baker, MS-LMFT

  • Mental Health Counselor
  • Lawton, OK
  • NPI 1285977561
  NPD
• Dawn Marie Ballew, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tulsa, OK
  • NPI 1295278240
  NPD
• Andrew David Barbosa, M.D.

  • Psychiatry Physician
  • Norman, OK
  • NPI 1205453784
  NPD
• Ruth Elaine Barrett, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1174809628
  NPD
• Cynthia Jeanette Baugh, R.N., CNS, BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • McAlester, OK
  • NPI 1730123605
  NPD

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1154589430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 SE 1138TH STREET",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745716028",
            "telephone_number": "918-567-2251",
            "fax_number": "918-567-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 SE 1138TH STREET",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745716028",
            "telephone_number": "918-567-2251",
            "fax_number": "918-567-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF OKLAHOMA DEPT OF VETERANS",
        "enumeration_date": "2008-05-23",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERMIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "405-523-4007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "WVC2007006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Department of Veterans Affairs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southeastern Oklahoma Foot Technology, LLC
• Southern Oklahoma Foot Technology LLC
• Britney Speer, RD
• Daniel Lee Stacy, DO
• Isaac Stacy
• Randy Lee Steers, PHARM. D.
• Kimberly Stegall
• Marcus W Stewart
• Kenneth Louis Stoltz, RRT
• James Stull, DO

• Skilled Nursing Facility in Talihina, OK
• Providers in Talihina, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.