Active NPI
Lesa Anne Landon, LPN
- Licensed Practical Nurse
- Grove, OK
National Provider Identifier
1053645143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L 0053409
- Practice address
- 63153 East 290 Road
Grove, OK 74345 - Phone
- (918) 944-3442
- NPI assigned
- Sep 23, 2009
- Last updated
- Sep 23, 2009
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L 0053409 | OK | Primary |
Addresses
Primary practice location
63153 East 290 Road
Grove, OK 74345
Mailing address
30433 Highway 85
Afton, OK 74331-8427
Phone (918) 944-3442
Other names 1
- Amber Nichole Landon
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 |
|---|---|---|---|
| L 0053409 | OK | MD | Licensed Practical Nurse |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1053645143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30433 HIGHWAY 85",
"city": "AFTON",
"state": "OK",
"postal_code": "743318427",
"telephone_number": "918-944-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63153 EAST 290 ROAD",
"city": "GROVE",
"state": "OK",
"postal_code": "74345",
"telephone_number": "918-944-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDON",
"first_name": "LESA",
"middle_name": "ANNE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "L 0053409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "LANDON",
"middle_name": "NICHOLE",
"credential": "LPN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.