Organization Active NPI

SNB LLC

  • Health Service Clinic/Center
  • Tulsa, OK
National Provider Identifier
1497112205
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SNB LLC
Practice address
8010 S 101St East Ave
Suite 200
Tulsa, OK 74133-4562
Phone
(918) 872-9499
Fax
(918) 893-1294
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Nan A Bertone, RN
Title
Managing Member / Clinical Director
Phone
(918) 872-9499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8010 S 101St East Ave
Suite 200
Tulsa, OK 74133-4562

Mailing address

8010 S 101St East Ave
Suite 200
Tulsa, OK 74133-4562
Phone (918) 872-9499

Other names 1

  • Personal Health Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personal Health Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1497112205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 S 101ST EAST AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334562",
            "telephone_number": "918-872-9499",
            "fax_number": "918-893-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 S 101ST EAST AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334562",
            "telephone_number": "918-872-9499",
            "fax_number": "918-893-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BERTONE",
        "authorized_official_first_name": "NAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "918-872-9499",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 2016; 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.