Central Oklahoma Diabetes Center Aprn CNP NP-C PLLC
Organization Active NPI Nurse Practitioner · Norman, OK
NPI 1073990602 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1073990602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 76737 (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
- Organization subpart
- No
Authorized official
- Name
- Leah Dawn Melton, APRN, CNP
- Title
- Owner
- Phone
- (405) 546-0468
Practitioners 1
-
Leah Dawn Melton, APRN-CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160919001983 | OK | Part B Supplier - Clinic/Group Practice | 2264729268 |
Receives reassigned benefits from 1 practitioner Practice locations: Norman, OK |
National Provider Directory
Locations
800 Wall St
Norman, OK 73069
Phone (405) 329-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 76737 | OK | Yes |
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
Other providers in Norman, OK
- Margaret Rose Cejda
- Center for Children and Families, Inc
- Central Ok Community Mental Health Center
- Central Ok OBGYN Associates
- Central Oklahoma Community Mental Health Center
- Central Oklahoma Diabetes Center, PLLC
- Central Pharmacy& Hospital Equipment Company Inc
- Central Pharmacy& Hospital Equipment Company Inc
- Lynda M Cerveny
- John B Chace
All providers in Norman, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.