Life Pace, Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

H6941 Issued in OK

Legal business name

LIFE PACE, INC.

Practice address

902 E Pine St
Tulsa, OK 74106-5928

Phone

(918) 664-9000

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Billy Earl Copeland

Title

Chief Financial Officer

Phone

(918) 938-7606

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyndsey L. Daggs, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1215590260
  NPD (past)
• Tiffany Geisler, APRN

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1821580630
  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1023407376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355114",
            "telephone_number": "918-664-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065928",
            "telephone_number": "918-664-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "918-938-7606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "OK",
            "license": "H6941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Marie Liebman
• Erin Elizabeth Morgan Liening, MD
• Martha Lievano-Stanton, LCSW
• Shannon Smith Liew, APRN
• Life Mind , PLLC
• Life Senior Services, Inc
• Life Senior Services, Inc
• Life Senior Services, Inc.
• Life Senior Services, Inc.
• Life Senior Services, Inc.

• PACE Provider Organization in Tulsa, OK
• Providers in Tulsa, OK by specialty
• PACE Provider Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.