Individual provider Active NPI

Linda O'Mahony

  • Registered Nurse
  • Sallisaw, OK
National Provider Identifier
1073789855
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
60475 Issued in OK
Practice address
101 N Wheeler Ave
Sallisaw, OK 74955-4617
Phone
(918) 775-5513
Fax
(918) 775-5526
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 60475 OK Primary

Addresses

Primary practice location

101 N Wheeler Ave
Sallisaw, OK 74955-4617

Mailing address

PO Box 558
Tahlequah, OK 74465-0558
Phone (918) 775-5513

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
60475OKMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1073789855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744650558",
            "telephone_number": "918-775-5513",
            "fax_number": "918-775-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554617",
            "telephone_number": "918-775-5513",
            "fax_number": "918-775-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MAHONY",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "60475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.