Individual provider Active NPI

Tina Ledet, ARNP

  • Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1215928700
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0048985 Issued in OK
Practice address
One South Bryant
Edmond, OK 73034
Phone
(405) 359-5561
Fax
(405) 359-5215
NPI assigned
Nov 2, 2005
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R48985 OK
Nurse Practitioner 363L00000X R0048985 OK Primary

Addresses

Primary practice location

One South Bryant
Edmond, OK 73034

Mailing address

One South Bryant
Edmond, OK 73034
Phone (405) 359-5561

Other practice location 1

2525 NW Expressway St Ste 102
Oklahoma City, OK 73112-7200
Phone (405) 213-0192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000231 OK Practitioner - Nurse Practitioner 8224059563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

10616 US Hwy 66
Suite 100
Yukon, OK 73099
Phone (405) 600-6869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R48985OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care of Oklahoma LLC Current Accepting new patients
True North Health Navigation LLC CurrentSince Apr 23, 2020 Accepting new patients
Emergency Services of Oklahoma PC Nurse Practitioner CurrentSince Jan 1, 2011 Accepting new patients
True North Health Navigation LLC CurrentSince Apr 23, 2020 Accepting new patients
Immediate Care of Oklahoma, LLC CurrentSince Feb 1, 2023 Accepting new patients
Immediate Care of Oklahoma CurrentSince Feb 1, 2023 Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Morningstar Emergency Physicians PLLC Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

3321 W Tecumseh Rd
Ste 125
Norman, OK 73072
Phone (405) 307-6900

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1215928700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE SOUTH BRYANT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-359-5561",
            "fax_number": "405-359-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE SOUTH BRYANT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-359-5561",
            "fax_number": "405-359-5215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 NW Expressway St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731127200",
            "country_code": "US",
            "telephone_number": "405-213-0192",
            "fax_number": "405-438-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDET",
        "first_name": "TINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R48985",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0048985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.