Active NPI
Lucille Way, ARNP
- Nurse Practitioner
- Ardmore, OK
National Provider Identifier
1285832436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 568755
- Practice address
- 2510 Chickasaw Blvd
Ardmore, OK 73401-1341 - Phone
- (580) 226-8181
- Fax
- (580) 421-6283
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 568755 | TX | Primary |
Addresses
Primary practice location
2510 Chickasaw Blvd
Ardmore, OK 73401-1341
Mailing address
1001 N Country Club Rd
Ada, OK 74820-2847
Phone (580) 421-4570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TEZ007 | Other | OK | MEDICARE IDENTIFICATION N |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corsicana-Navarro County Public Health District | 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.
-
- State or Local Public Health Clinic/Center
- Corsicana, TX
- NPI 1164467742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1285832436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N COUNTRY CLUB RD",
"city": "ADA",
"state": "OK",
"postal_code": "748202847",
"telephone_number": "580-421-4570",
"fax_number": "580-421-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 CHICKASAW BLVD",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011341",
"telephone_number": "580-226-8181",
"fax_number": "580-421-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAY",
"first_name": "LUCILLE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "568755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION N",
"identifier": "TEZ007",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.