Active NPI
Mary Newman
- Registered Nurse
- Yukon, OK
National Provider Identifier
1033615653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0046294
- Practice address
- 428 S Mustang Rd
Yukon, OK 73099-6754 - Phone
- (405) 577-5477
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0046294 | OK | Primary |
Addresses
Primary practice location
428 S Mustang Rd
Yukon, OK 73099-6754
Mailing address
616 N Centennial Way
Mustang, OK 73064-2021
Phone (405) 376-1324
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0046294 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1033615653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 N CENTENNIAL WAY",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730642021",
"telephone_number": "405-376-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996754",
"telephone_number": "405-577-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "0046294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.