Individual provider Active NPI

Tembeng Marilyn Tiku

  • Family Nurse Practitioner
  • Nichols Hills, OK
National Provider Identifier
1083428148
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203932 Issued in OK
Practice address
1000 W Wilshire Blvd Ste 403C
Nichols Hills, OK 73116-7055
Phone
(405) 505-2505
NPI assigned
Feb 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 203932 OK Primary

Addresses

Primary practice location

1000 W Wilshire Blvd Ste 403C
Nichols Hills, OK 73116-7055

Mailing address

1000 W Wilshire Blvd Ste 403C
Nichols Hills, OK 73116-7055
Phone (405) 474-6526

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
203932OKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1083428148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD STE 403C",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731167055",
            "telephone_number": "405-474-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD STE 403C",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731167055",
            "telephone_number": "405-505-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKU",
        "first_name": "TEMBENG",
        "middle_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "203932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nichols Hills, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.