NPIMap

Organization Active NPI

Healthcare Stat of Lindsay LLC

  • Family Nurse Practitioner
  • Lindsay, OK
National Provider Identifier
1447765086
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTHCARE STAT OF LINDSAY LLC
Practice address
301 E Cherokee St Ste F
Lindsay, OK 73052-4414
Phone
(405) 659-5656
Fax
(405) 701-5421
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Shawn P Bonilla, APRNNPI 1134213978
Title
Owner/Provider
Phone
(405) 659-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Emergency Medicine Physician 207P00000X NU

Addresses

Primary practice location

301 E Cherokee St Ste F
Lindsay, OK 73052-4414

Mailing address

PO Box 5908
Norman, OK 73070-5908
Phone (405) 659-5656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1447765086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5908",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730705908",
            "telephone_number": "405-659-5656",
            "fax_number": "405-701-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CHEROKEE ST STE F",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730524414",
            "telephone_number": "405-659-5656",
            "fax_number": "405-701-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE STAT OF LINDSAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "405-659-5656",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.