Carl Lee Laffoon, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0054748 Issued in OK

Practice address

5100 E Hwy 37
Tuttle, OK 73089-8581

Phone

(405) 381-5111

Fax

(405) 381-5138

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton Hospital Authority 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• Clinton Regional Hospital Hospital, Clinton, OK, CCN 370245

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton Hospital Authority

  • Family Medicine Physician
  • Clinton, OK
  • NPI 1528812237

  OK

  Medicare reassignment Care Compare group NPD
• Cordell Memorial Hospital 0189

  • Critical Access Hospital
  • Cordell, OK
  • NPI 1750384426

  OK

  Medicare reassignment NPD
• Southern Plains Medical Center of Garvin County LLC

  • Emergency Medicine Physician
  • Pauls Valley, OK
  • NPI 1083280622

  OK

  Medicare reassignment NPD
• Clinton Hospital Authority

  • General Acute Care Hospital
  • Clinton, OK
  • NPI 1942921929
  Care Compare group NPD
• Southern Plains Medical Center of Garvin County LLC

  • Rural Acute Care Hospital
  • Pauls Valley, OK
  • NPI 1053997338
  NPD
• Carter Professional Care, Corp

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1932299286
  NPD (past)
• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  NPD (past)
• Cordell Memorial Hospital 0189

  • Emergency Care Clinic/Center
  • Cordell, OK
  • NPI 1083017727
  NPD (past)
• Rha Anadarko Inc

  • Critical Access Hospital
  • Anadarko, OK
  • NPI 1023076304
  NPD (past)
• Rha Stroud Inc

  • Critical Access Hospital
  • Stroud, OK
  • NPI 1437107117
  NPD (past)
• Rural Wellness Fairfax Inc

  • Rural Health Clinic/Center
  • Fairfax, OK
  • NPI 1790314466
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073594032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 E HWY 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898581",
            "telephone_number": "405-381-5111",
            "fax_number": "405-381-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 E HWY 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898581",
            "telephone_number": "405-381-5111",
            "fax_number": "405-381-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFOON",
        "first_name": "CARL",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R54748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0054748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002980D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Incipient Care Inc.
• Brent Jackson
• Timber Laine Jackson, FNP-C
• Thomas Alan Jarvis, D.O.
• Jerry D McCan DDS
• Michele Lynne Lange, ARNP
• Andrea Leu-Henthorn, PA
• Local Med LLC
• Linzi Ruth Mackey, CNP
• Cheryl Macneill

• All providers in Tuttle, OK
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.