Active NPI
Loren Nelson, PHD
- Health Service Psychologist
- Edmond, OK
National Provider Identifier
1194072389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 1415
- Practice address
- 1900 E 15TH St Ste 800B
Edmond, OK 73013-6682 - Phone
- (405) 455-6868
- Fax
- (405) 562-3444
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Health Service Psychologist | 103TH0100X | 1415 | OK | Primary |
Addresses
Primary practice location
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Mailing address
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Phone (405) 455-6868
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1415 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1194072389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE 800B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136682",
"telephone_number": "405-455-6868",
"fax_number": "405-562-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE 800B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136682",
"telephone_number": "405-455-6868",
"fax_number": "405-562-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LOREN",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OK",
"license": "1415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.