Sukcha Maudie, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0074117 Issued in OK

Practice address

215 NW 16TH St
Oklahoma City, OK 73103-3408

Phone

(405) 473-6153

Fax

(405) 524-1677

NPI assigned

May 28, 2013

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1467899724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033408",
            "telephone_number": "405-473-6153",
            "fax_number": "405-524-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033408",
            "telephone_number": "405-473-6153",
            "fax_number": "405-524-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUDIE",
        "first_name": "SUKCHA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "0074117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Luann Mattia, M.ED. L.B.P.
• Clay Mattox
• John Matye Jr.
• Marianne Matzo, PHD, GNP-BC, FAAN
• Sydney Mauck, MD
• Tazeen Maududi, MD
• Shelbie Gwinn Mauk, CRNA
• Mauldin Counseling
• Briana Marie Mauldin-Looby, MS,LPC
• Grant K Mauldin, MD

• Adult Health Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.