Active NPI
Stephanie Marie Heller
- Long Term Care Hospital
- Tulsa, OK
National Provider Identifier
1477746188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 972
- Practice address
- 1125 S Trenton Ave
Tulsa, OK 74120-5418 - Phone
- (918) 845-6097
- NPI assigned
- Aug 26, 2007
- Last updated
- Aug 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 972 | OK | |
| Long Term Care Hospital | 282E00000X | 972 | OK | Primary |
Addresses
Primary practice location
1125 S Trenton Ave
Tulsa, OK 74120-5418
Mailing address
3000 W Detroit St
Broken Arrow, OK 74012-2160
Phone (918) 845-6097
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188086400000",
"number": "1477746188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 W DETROIT ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122160",
"telephone_number": "918-845-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 S TRENTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741205418",
"telephone_number": "918-845-6097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-26",
"last_updated": "2007-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OK",
"license": "972",
"primary": false
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "OK",
"license": "972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.