Amie Elaine Pickard, MCP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

110 N 4TH St
Ponca City, OK 74601-4527

Phone

(580) 749-5056

NPI assigned

May 25, 2016

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Oklahoma Youth Services

  • Community/Behavioral Health Agency
  • Ponca City, OK
  • NPI 1710109178
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1912355405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 4TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014527",
            "telephone_number": "580-352-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 4TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014527",
            "telephone_number": "580-749-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "AMIE",
        "middle_name": "ELAINE",
        "credential": "MCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Lee Peters, A.R.N.P. & C.P.N.P.
• Phillip a. Tyndall, DDS, PC
• Phillip a. Tyndall, DDS,PC
• Jamie Dawn Phillips, MS, LPC
• Physicians Urgent Care Center, Inc.
• Paul Bradley Plowman, M.D.
• Pamela J Poland, M.D.
• Ponca City Dental Group PLLC
• Ponca City Home Care Services, LLC
• Ponca City Homecare Services Inc

• All providers in Ponca City, OK
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.