Individual provider Active NPI

Lyubov Lynn Speegle, PAC

  • Professional Counselor
  • Bethany, OK
National Provider Identifier
1265610471
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4107 N Council Rd
Bethany, OK 73008-3131
Phone
(405) 889-6366
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1685 OK
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4107 N Council Rd
Bethany, OK 73008-3131

Mailing address

10100 Millspaugh Way
Yukon, OK 73099-7975
Phone (405) 615-1178

Other practice location 1

401 SW 80th St Ste 201
Oklahoma City, OK 73139-8123
Phone (405) 632-9090

Other names 1

  • Liubov Yurievna Kartashovea Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Cardiovascular Associates, PC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1265610471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 MILLSPAUGH WAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997975",
            "telephone_number": "405-615-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 N COUNCIL RD",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083131",
            "telephone_number": "405-889-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 SW 80th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731398123",
            "country_code": "US",
            "telephone_number": "405-632-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEEGLE",
        "first_name": "LYUBOV",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1685",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIUBOV",
            "last_name": "KARTASHOVEA",
            "middle_name": "YURIEVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.