Active NPI
Dawn Marie Lafromboise, MD
- Psychiatry Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23500
- Practice address
- 4103 S Yale Ave Ste B
Tulsa, OK 74135-6002 - Phone
- (918) 382-7300
- Fax
- (918) 382-7302
- NPI assigned
- Dec 18, 2006
- Last updated
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23500 | OK | Primary |
Addresses
Primary practice location
4103 S Yale Ave Ste B
Tulsa, OK 74135-6002
Mailing address
4103 S Yale Ave Ste B
Tulsa, OK 74135-6002
Phone (918) 382-7300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16836 | Medicaid | ND | |
| 8HR085 | Other | ND | MEDICARE PTAN INDIVIDUAL P10 |
| 200037220A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of North Dakota School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4103 S Yale Ave
Suite B
Tulsa, OK 74135-6002
Phone (918) 382-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23500 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Services | Current | Accepting new patients | |
| Mind Inspiring Physician Group LLC | Psychiatry | Current | Accepting new patients |
| Creoks Mental Health Services | Current | Accepting new patients | |
| Trenton Indian Service Area | Current | Accepting new patients | |
| Quentin N Burdick Comprehensive Health Care Facility | Current | Accepting new patients |
Locations
301 Industrial Dr
Mountain View, AR 72560
Phone (870) 269-6022
3105 Solutions Ctr
Chicago, IL 60677
1300 Hospital Loop
Belcourt, ND 58316
4100 W 150th St
#3
Cleveland, OH 44135
4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1841311289
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
TX
-
dba Trenton Community Clinic
- Clinic/Center
- Trenton, ND
- NPI 1568574036
TX
-
dba Mind Inspiring Physican Group
- Psychiatry Physician
- Tusla, OK
- NPI 1184512519
-
- Community/Behavioral Health Agency
- Tahlequah, OK
- NPI 1043331499
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mountain View, AR
- NPI 1558979781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1497818926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4103 S YALE AVE STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741356002",
"telephone_number": "918-382-7300",
"fax_number": "918-382-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 S YALE AVE STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741356002",
"telephone_number": "918-382-7300",
"fax_number": "918-382-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFROMBOISE",
"first_name": "DAWN",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "23500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16836",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN INDIVIDUAL P10",
"identifier": "8HR085",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200037220A",
"state": "OK"
}
],
"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 Jun 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.