Rebecca Joy Stam, APRN

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

R104170 Issued in OK

Practice address

12716 NE 36TH St
Spencer, OK 73084-9167

Phone

(405) 769-3301

Fax

(405) 769-9685

NPI assigned

Jan 4, 2012

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

Other identifiers 1

Other names 1

• Rebecca Joy Terhune Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1467722744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30589",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403589",
            "telephone_number": "405-769-3301",
            "fax_number": "405-769-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12716 NE 36TH ST",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730849167",
            "telephone_number": "405-769-3301",
            "fax_number": "405-769-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAM",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "OK",
            "license": "R104170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "R104170",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TERHUNE",
            "middle_name": "JOY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curtis L Smith, D.D.S.
• Enighsha L Smith
• Rayvon Elaine Smith
• Robert Benard Smith II
• Tracy Smith
• Lynda Steele
• Elizabeth Ann Stewart, ARNP
• Beena Thomas
• Demarcus Thompson
• James L Thompson, LCSW

• Community Health Nurse Practitioner in Spencer, OK
• Providers in Spencer, OK by specialty
• Community Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.