Individual provider Active NPI

Robbie J Callins Jr., LPN

  • Licensed Practical Nurse
  • Oklahoma City, OK
National Provider Identifier
1407069982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LOO21115 Issued in OK
Practice address
1215 N W 25 Street
Oklahoma City, OK 73106
Phone
(405) 525-2525
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LOO21115 OK Primary

Addresses

Primary practice location

1215 N W 25 Street
Oklahoma City, OK 73106

Mailing address

6543 Lyrewood LN
Oklahoma City, OK 73132-7004
Phone (405) 722-8662

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
LOO21115OKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407069982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6543 LYREWOOD LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731327004",
            "telephone_number": "405-722-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N W 25 STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73106",
            "telephone_number": "405-525-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLINS",
        "first_name": "ROBBIE",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "LOO21115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, 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.

Verify at the official NPI Registry.