Individual provider Active NPI

Lois L Gotes, NP

  • Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1013254622
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R57845 Issued in OK
Practice address
1013 Dewey Ave
Poteau, OK 74953-4409
Phone
(918) 647-2929
Fax
(918) 647-2288
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R57845 OK Primary

Addresses

Primary practice location

1013 Dewey Ave
Poteau, OK 74953-4409

Mailing address

1013 Dewey Ave
Poteau, OK 74953-4409
Phone (918) 647-2929

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
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1013254622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534409",
            "telephone_number": "918-647-2929",
            "fax_number": "918-647-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534409",
            "telephone_number": "918-647-2929",
            "fax_number": "918-647-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTES",
        "first_name": "LOIS",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R57845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.