Individual provider Active NPI

Elissa Rue Steidley, LPN

  • Licensed Practical Nurse
  • McAlester, OK
National Provider Identifier
1194805333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L0041184 Issued in OK
Practice address
1 C Tree Rd BLDG 5
McAlester, OK 74501-9002
Phone
(918) 420-6495
Fax
(918) 420-7497
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L0041184 OK Primary

Addresses

Primary practice location

1 C Tree Rd BLDG 5
McAlester, OK 74501-9002

Mailing address

RR 6 Box 150C
McAlester, OK 74501-9218
Phone (918) 389-4239

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

LicenseStateTypeSpecialty
L0041184OKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194805333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 150C",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745019218",
            "telephone_number": "918-389-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 C TREE RD BLDG 5",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745019002",
            "telephone_number": "918-420-6495",
            "fax_number": "918-420-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIDLEY",
        "first_name": "ELISSA",
        "middle_name": "RUE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0041184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.