Active NPI
Lori D Rule, PA C
- Physician Assistant
- Tulsa, OK
National Provider Identifier
1073596433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 658
- Practice address
- 1516 S Yorktown PL
Tulsa, OK 74104-4918 - Phone
- (918) 712-8888
- Fax
- (918) 712-8892
- NPI assigned
- Nov 21, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 658 | OK | Primary |
Addresses
Primary practice location
1516 S Yorktown PL
Tulsa, OK 74104-4918
Mailing address
1516 S Yorktown PL
Tulsa, OK 74104-4918
Phone (918) 712-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100114540B | Medicaid | OK |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 W 71St St
Tulsa, OK 74132-1825
Phone (918) 760-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658 | OK | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Dermatology PLLC | Current | Accepting new patients |
Locations
6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333
5801 E 41st St
Ste 200
Tulsa, OK 74135
Phone (918) 293-9966
720 W 71st St
Tulsa, OK 74132
Phone (918) 760-0700
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00426
- https://api.platform.athenahealth.com/27261/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Dermatology Physician
- Tulsa, OK
- NPI 1750877072
-
- Dermatology Physician
- Broken Arrow, OK
- NPI 1073263380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1073596433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 S YORKTOWN PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741044918",
"telephone_number": "918-712-8888",
"fax_number": "918-712-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 S YORKTOWN PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741044918",
"telephone_number": "918-712-8888",
"fax_number": "918-712-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULE",
"first_name": "LORI",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100114540B",
"state": "OK"
}
],
"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 Feb 19, 2019; 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.