Gwen Elizabeth Leake

Primary specialty

Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X

License

NA Issued in OK

Practice address

425 N Brown St
Sapulpa, OK 74066-3260

Phone

(918) 367-8316

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1407689862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N BROWN ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740663260",
            "telephone_number": "918-367-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N BROWN ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740663260",
            "telephone_number": "918-367-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "GWEN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH1100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "OK",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Land
• Elizabeth Landon
• Trisha Carol Lawrence
• Michaela Jade Lazarus
• Philip League
• Valerie Sue Lee
• Emma Leffler
• Rebecca Lemley
• Lifegate Freedom Recovery Ministries, Inc.
• Beverly N Litterell, LPC

• Clinical Nurse Specialist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Clinical Nurse Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.