Organization Active NPI

Central Oklahoma Diabetes Center Aprn CNP NP-C PLLC

  • Nurse Practitioner
  • Norman, OK
National Provider Identifier
1073990602
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76737 Issued in OK
Legal business name
CENTRAL OKLAHOMA DIABETES CENTER APRN CNP NP-C PLLC
Practice address
1010 24TH Ave NW
Suite 110
Norman, OK 73069-6494
Phone
(405) 801-4050
Fax
(405) 701-8988
NPI assigned
May 4, 2015
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Leah Dawn Melton, APRN, CNPNPI 1679824601
Title
Owner
Phone
(405) 546-0468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 76737 OK Primary

Addresses

Primary practice location

1010 24TH Ave NW
Suite 110
Norman, OK 73069-6494

Mailing address

1010 24TH Ave NW
Suite 110
Norman, OK 73069-6494
Phone (405) 801-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160919001983 OK Part B Supplier - Clinic/Group Practice 2264729268 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

2429 Westport Dr
Norman, OK 73069
Phone (405) 308-9120

800 Wall St
Norman, OK 73069
Phone (405) 329-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1073990602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 24TH AVE NW",
            "address_2": "SUITE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696494",
            "telephone_number": "405-801-4050",
            "fax_number": "405-701-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 24TH AVE NW",
            "address_2": "SUITE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696494",
            "telephone_number": "405-801-4050",
            "fax_number": "405-701-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OKLAHOMA DIABETES CENTER APRN CNP NP-C PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-546-0468",
        "authorized_official_credential": "APRN, CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "76737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.