Individual provider Active NPI

Lisa Gail Culliton, APRN, BSN, MSN

  • Pediatric Nurse Practitioner
  • Moore, OK
National Provider Identifier
1013096460
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209314 Issued in OK
Practice address
1201 Magnolia CT
Moore, OK 73160-1394
Phone
(405) 857-7681
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209314 OK Primary

Addresses

Primary practice location

1201 Magnolia CT
Moore, OK 73160-1394

Mailing address

PO Box 720686
Norman, OK 73070-4522
Phone (405) 857-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209314OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar, PLLC CurrentSince Mar 12, 2023 Accepting new patients
Ku Health Partners, Inc Past Accepting new patients

Locations

1201 Magnolia Ct
Ste 101
Moore, OK 73160
Phone (405) 857-7681

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGICD/Endpoint/IAGICD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1013096460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720686",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704522",
            "telephone_number": "405-857-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAGNOLIA CT",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601394",
            "telephone_number": "405-857-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLITON",
        "first_name": "LISA",
        "middle_name": "GAIL",
        "credential": "APRN, BSN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "209314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.