Jacob Tyler Lamar

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5411 Maplewood LN
Sapulpa, OK 74066-9123

Phone

(918) 863-6761

NPI assigned

Oct 24, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jake Tyler Lamar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1013738731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 MAPLEWOOD LN",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740669123",
            "telephone_number": "918-863-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 MAPLEWOOD LN",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740669123",
            "telephone_number": "918-863-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "JACOB",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "LAMAR",
            "middle_name": "TYLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Steven Krienke
• Subramaniam Krishnamurthi, MD
• Krista Hearon LPC LLC
• Heather Lacomb, LPN
• Erin Lagan
• Mary Caroline Lambert, CSFA
• Anna Lee Lamers, M.S. CCC-SLP
• John David Land
• Elizabeth Landon
• Trisha Carol Lawrence

• Student in an Organized Health Care Education/Training Program in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.