Active NPI
Tina Le
- Psychiatric/Mental Health Registered Nurse
- Oklahoma City, OK
National Provider Identifier
1487424735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- R0055805
- Practice address
- 1737 Linwood Blvd
Oklahoma City, OK 73106-5033 - Phone
- (405) 510-0423
- NPI assigned
- Jan 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R0055805 | OK | Primary |
Addresses
Primary practice location
1737 Linwood Blvd
Oklahoma City, OK 73106-5033
Mailing address
1737 Linwood Blvd
Oklahoma City, OK 73106-5033
Phone (405) 510-0423
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0055805 | OK | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Treatment Centers, Inc. | Past | Accepting new patients | |
| Mission Treatment Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Henderson, NV
- NPI 1154637429
-
- Methadone Clinic
- Scottsdale, AZ
- NPI 1700192077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1487424735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 LINWOOD BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731065033",
"telephone_number": "405-510-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 LINWOOD BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731065033",
"telephone_number": "405-510-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OK",
"license": "R0055805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.