Individual provider Active NPI

Chrisitna Nicole Lasater, LPN

  • Licensed Practical Nurse
  • Tulsa, OK
National Provider Identifier
1073095733
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
61759 Issued in OK
Practice address
7477 E 46TH PL
Tulsa, OK 74145-6305
Phone
(918) 384-0002
Fax
(918) 384-0004
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 61759 OK Primary

Addresses

Primary practice location

7477 E 46TH PL
Tulsa, OK 74145-6305

Mailing address

726 S Maplewood Ave
Tulsa, OK 74112-3132
Phone (918) 899-4592

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
61759OKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1073095733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S MAPLEWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741123132",
            "telephone_number": "918-899-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 E 46TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456305",
            "telephone_number": "918-384-0002",
            "fax_number": "918-384-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASATER",
        "first_name": "CHRISITNA",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "61759",
            "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 29, 2018; 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.