Mai Nicole Le Pham

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

218733 Issued in OK

Practice address

411 NW 7TH St
Oklahoma City, OK 73102-2810

Phone

(405) 413-4689

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Thi Le Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1174319552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 SW 96TH CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596736",
            "telephone_number": "918-360-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022810",
            "telephone_number": "405-413-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE PHAM",
        "first_name": "MAI NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "218733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LE",
            "middle_name": "THI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lucila Lazos
• Lcda
• LDS Spine PLLC
• Jhaylin Mary Elizabeth Le Blanc
• Alice Le Huu, MD
• Le Postiche, LLC
• Aisha Le
• Alain Irving Le, MD
• Anita D Le, O.D.
• Breanna-Anh Que Le

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.