NPI Code Details Logo

NPI 1508152059

NPI 1508152059 : TAMRA LYNN WASHINGTON M.ED., BHRS : EDMOND, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508152059
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TAMRA LYNN WASHINGTON M.ED., BHRS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/23/2011
-----------------------------------------------------
    Last Update Date     |    06/23/2011
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    109 NW 160TH ST 
-----------------------------------------------------
    City                 |    EDMOND
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73013-2039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    405-921-9218
-----------------------------------------------------
    Fax                  |    405-521-4373
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    109 NW 160TH ST 
-----------------------------------------------------
    City                 |    EDMOND
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73013-2039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    405-921-9218
-----------------------------------------------------
    Fax                  |    405-521-4373
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251K00000X
-----------------------------------------------------
    Taxonomy Name        |    Public Health or Welfare Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    253J00000X
-----------------------------------------------------
    Taxonomy Name        |    Foster Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.