Active NPI
Lisa Leming, MED
- Rehabilitation Psychologist
- Poteau, OK
National Provider Identifier
1104177963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 108 John Dr
Poteau, OK 74953-2005 - Phone
- (918) 839-4999
- Fax
- (918) 647-8121
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Master of Education
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | Primary |
Addresses
Primary practice location
108 John Dr
Poteau, OK 74953-2005
Mailing address
108 John Dr
Poteau, OK 74953-2005
Phone (918) 839-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200226970 | Medicaid | OK |
NPI Registry JSON
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1104177963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 JOHN DR",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532005",
"telephone_number": "918-839-4999",
"fax_number": "918-647-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 JOHN DR",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532005",
"telephone_number": "918-839-4999",
"fax_number": "918-647-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMING",
"first_name": "LISA",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200226970",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.