Active NPI
Connie L. Ziese, ARNP
- Women's Health Nurse Practitioner
- Norman, OK
National Provider Identifier
1386851913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R0024946
- Practice address
- 250 12TH Ave NE
Norman, OK 73071-5237 - Phone
- (405) 321-4048
- Fax
- (405) 360-0922
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R0024946 | OK | Primary |
Addresses
Primary practice location
250 12TH Ave NE
Norman, OK 73071-5237
Mailing address
250 12TH Ave NE
Norman, OK 73071-5237
Phone (405) 321-4048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700249 | Medicaid | OK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R0024946 | OK | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386851913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 12TH AVE NE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730715237",
"telephone_number": "405-321-4048",
"fax_number": "405-360-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 12TH AVE NE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730715237",
"telephone_number": "405-321-4048",
"fax_number": "405-360-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIESE",
"first_name": "CONNIE",
"middle_name": "L.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OK",
"license": "R0024946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700249",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.