Individual provider Active NPI

Leianna Marie Lamar, CNP

  • Family Nurse Practitioner
  • Bethany, OK
National Provider Identifier
1538525837
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
86380 Issued in OK
Practice address
6800 NW 39TH Expy
Bethany, OK 73008
Phone
(405) 789-6711
Fax
(405) 440-6716
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 86380 OK Primary

Addresses

Primary practice location

6800 NW 39TH Expy
Bethany, OK 73008

Mailing address

6800 NW 39TH Expy
Bethany, OK 73008-2513
Phone (405) 789-6711

Other practice location 1

5224 E I 240 Service Rd Fl 2
Oklahoma City, OK 73135
Phone (405) 608-3800

Other practice location 2

5224 E I 240 Service Rd Fl 2
Oklahoma City, OK 73135
Phone (405) 608-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102002034 OK Practitioner - Nurse Practitioner 7810255429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
86380OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Sep 28, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Sep 28, 2023 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
The Children'S Center Past Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2525 Chandler Rd
Muskogee, OK 74403
Phone (918) 232-0768

550 W Shawnee St
Muskogee, OK 74401
Phone (908) 910-5186

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1538525837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082513",
            "telephone_number": "405-789-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "405-789-6711",
            "fax_number": "405-440-6716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5224 E I 240 Service Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73135",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5224 E I 240 Service Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73135",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "LEIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "86380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.