Individual provider Active NPI

Cristi Lea Luis, RN

  • Registered Nurse
  • Ponca City, OK
National Provider Identifier
1225601479
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R0078972 Issued in OK
Practice address
2225 N Union St
Ponca City, OK 74601-1555
Phone
(580) 716-9064
NPI assigned
Jul 23, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0078972 OK Primary

Addresses

Primary practice location

2225 N Union St
Ponca City, OK 74601-1555

Mailing address

1205 Brentwood Dr
Ponca City, OK 74601-1714

Other practice location 1

2225 N Union St
Ponca City, OK 74601-1555
Phone (580) 716-9064

Other practice location 2

2225 N Union St
Ponca City, OK 74601-1555
Phone (580) 716-9064

Other practice location 3

2225 N Union St
Ponca City, OK 74601-1555

Other practice location 4

2225 N. union St.
Ponca city, OK 74601
Phone (580) 716-9064

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0078972OKMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1225601479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BRENTWOOD DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N UNION ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011555",
            "telephone_number": "580-716-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 N Union St",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746011555",
            "country_code": "US",
            "telephone_number": "580-716-9064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 N Union St",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746011555",
            "country_code": "US",
            "telephone_number": "580-716-9064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 N Union St",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746011555",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 N. union St.",
            "address_purpose": "LOCATION",
            "city": "Ponca city",
            "state": "OK",
            "postal_code": "74601",
            "country_code": "US",
            "telephone_number": "580-716-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUIS",
        "first_name": "CRISTI",
        "middle_name": "LEA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0078972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.