Individual provider Active NPI

Ginger Lanye, D.V.M.

  • Veterinarian
  • Broken Arrow, OK
National Provider Identifier
1376926204
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
4460 Issued in OK
Practice address
6319 S Elm PL
Broken Arrow, OK 74011-4101
Phone
(918) 451-1440
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 4460 OK Primary

Addresses

Primary practice location

6319 S Elm PL
Broken Arrow, OK 74011-4101

Mailing address

6319 S Elm PL
Broken Arrow, OK 74011-4101
Phone (918) 451-1440

Other identifiers 1

IdentifierTypeStateIssuer
4460OtherOKOKLAHOMA BOARD OF VETERINARY MEDICAL EXAMINERS

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

State licenses

LicenseStateTypeSpecialty
4460OKMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1376926204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114101",
            "telephone_number": "918-451-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114101",
            "telephone_number": "918-451-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANYE",
        "first_name": "GINGER",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "OK",
            "license": "4460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF VETERINARY MEDICAL EXAMINERS",
            "identifier": "4460",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.