Active NPI
Lee Ann Habben, PAC
- Physician Assistant
- Claremore, OK
National Provider Identifier
1396739264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA763
- Practice address
- 2990 N Sioux Ave
Claremore, OK 74017-3700 - Phone
- (918) 342-2622
- Fax
- (918) 342-2641
- NPI assigned
- Sep 7, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA763 | OK | Primary |
Addresses
Primary practice location
2990 N Sioux Ave
Claremore, OK 74017-3700
Mailing address
2990 N Sioux Ave
Claremore, OK 74017-3700
Phone (918) 342-2622
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243521102 | Other | OK | CMS PROVIDER NUMBER |
| 27022 | Other | OK | OK ST BUREAU OF NARCOTICS |
| 100095320B | Medicaid | OK | |
| 1600763 | 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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 763 | OK | MD | Marriage & Family Therapist |
| PA763 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stigler Health and Wellness Center Inc | 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.
-
- Federally Qualified Health Center (FQHC)
- Stigler, OK
- NPI 1891752853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1396739264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 N SIOUX AVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740173700",
"telephone_number": "918-342-2622",
"fax_number": "918-342-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 N SIOUX AVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740173700",
"telephone_number": "918-342-2622",
"fax_number": "918-342-2641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABBEN",
"first_name": "LEE ANN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS PROVIDER NUMBER",
"identifier": "243521102",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK ST BUREAU OF NARCOTICS",
"identifier": "27022",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095320B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1600763",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.