Individual provider Active NPI

Vicki Sue Loehrs, R.E.

  • Specialist
  • Tulsa, OK
National Provider Identifier
1063180636
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RE61 Issued in OK
Practice address
5137 S. Hudson Place
Tulsa, OK 74135-7506
Phone
(918) 744-7546
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X RE61 OK
Specialist 174400000X RE61 OK Primary

Addresses

Primary practice location

5137 S. Hudson Place
Tulsa, OK 74135-7506

Mailing address

5137 S. Hudson Place
Tulsa, OK 74135-7506
Phone (918) 744-7546

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

LicenseStateTypeSpecialty
RE61OKMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1063180636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 S. HUDSON PLACE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357506",
            "telephone_number": "918-744-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 S. HUDSON PLACE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357506",
            "telephone_number": "918-744-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEHRS",
        "first_name": "VICKI",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "R.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "OK",
            "license": "RE61",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "RE61",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.