Heather Lacomb, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

204320 Issued in OK

Practice address

27 E Ross Ave
Sapulpa, OK 74066

Phone

(918) 216-4999

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creoks Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Sapulpa, OK
  • NPI 1922819655
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1093481582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 S POPLAR PL",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740103841",
            "telephone_number": "918-350-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E ROSS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "74066",
            "telephone_number": "918-216-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOMB",
        "first_name": "HEATHER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "204320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Knoch
• Jenna Rae Knoepfel, PHARM D
• Charles Steven Krienke
• Subramaniam Krishnamurthi, MD
• Krista Hearon LPC LLC
• Erin Lagan
• Jacob Tyler Lamar
• Mary Caroline Lambert, CSFA
• Anna Lee Lamers, M.S. CCC-SLP
• John David Land

• Licensed Practical Nurse in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.