Active NPI
Emily Ellen Beadles
- Counselor
- Lawton, OK
National Provider Identifier
1063557205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 9 NE 48TH PL
Lawton, OK 73507-7317 - Phone
- (580) 355-9096
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
9 NE 48TH PL
Lawton, OK 73507-7317
Mailing address
4645 W Gore Blvd
Suite 5
Lawton, OK 73505-6041
Phone (580) 355-6800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063557205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 W GORE BLVD",
"address_2": "SUITE 5",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056041",
"telephone_number": "580-355-6800",
"fax_number": "580-355-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 NE 48TH PL",
"city": "LAWTON",
"state": "OK",
"postal_code": "735077317",
"telephone_number": "580-355-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLES",
"first_name": "EMILY",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.