Active NPI
Mary Caroline Lambert, CSFA
- Surgical Technologist
- Sapulpa, OK
National Provider Identifier
1114355518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 122922
- Practice address
- 32 W Fairlane CT
Sapulpa, OK 74066-7094 - Phone
- (918) 906-6203
- NPI assigned
- Oct 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 122922 | OK | Primary |
Addresses
Primary practice location
32 W Fairlane CT
Sapulpa, OK 74066-7094
Mailing address
32 W Fairlane CT
Sapulpa, OK 74066-7094
Phone (918) 906-6203
Other names 1
- Mary Dietlin
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122922 | OK | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1114355518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 W FAIRLANE CT",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740667094",
"telephone_number": "918-906-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 W FAIRLANE CT",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740667094",
"telephone_number": "918-906-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "MARY",
"middle_name": "CAROLINE",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-22",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "OK",
"license": "122922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DIETLIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.