Individual provider Active NPI

Lori Suzanne Edwards, APRN-CNM

  • Advanced Practice Midwife
  • Tulsa, OK
National Provider Identifier
1093154239
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
76836 Issued in OK
Practice address
3345 S Harvard Ave Ste 201
Tulsa, OK 74135-1809
Phone
(918) 271-5966
Fax
(918) 271-5976
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422000647 TX Practitioner - Certified Nurse Midwife (CNM) 3375786569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Apr 22, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 22, 2021 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Interoperability endpoints

  • Direct secure messaging: ledwards19977@choctawnation.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 76836 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

3345 S Harvard Ave Ste 201
Tulsa, OK 74135-1809

Mailing address

2401 Southwest Blvd
Tulsa, OK 74107-2726
Phone (918) 561-5701

Other names 1

NPPES NPI Registry
  • Lori Suzanne Hightower Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2019.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1093154239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741072726",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351809",
            "telephone_number": "918-271-5966",
            "fax_number": "918-271-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LORI",
        "middle_name": "SUZANNE",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OK",
            "license": "76836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "HIGHTOWER",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.