Tracey Lorann Biddle

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

45845 Issued in OK

Practice address

827 E Hubbard Rd
Ponca City, OK 74601-1073

Phone

(580) 762-3217

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Oklahoma Treatment Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1306277082
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1275135337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 QUAIL RIDGE RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746046078",
            "telephone_number": "580-761-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E HUBBARD RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011073",
            "telephone_number": "580-762-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "TRACEY",
        "middle_name": "LORANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "45845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Heather Bergman
• Latasha Nicole Berry
• Tera Leah Biaggi, LCSW
• Katie Biby
• Leah E Biddle
• Bintz Pharmacy, Inc.
• Bintz Pharmacy, Inc.
• Gary Dean Bintz, D.PH.
• Kim Leigh Birdsong, LPC
• Derra Bishop

• Licensed Practical Nurse in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.