Angelea M Pride

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

L0053808 Issued in OK

Practice address

27 East Ross Avenue
Sapulpa, OK 74066

Phone

(918) 216-4999

NPI assigned

Feb 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creoks Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Sapulpa, OK
  • NPI 1922819655
  NPD

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1649076472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUN PRAIRIE ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743617837",
            "telephone_number": "918-704-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 EAST ROSS AVENUE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "74066",
            "telephone_number": "918-216-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDE",
        "first_name": "ANGELEA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OK",
            "license": "L0053808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Sue Poulos
• Kourtney Preaus, RDN
• Laurie Marie Presley
• Pretty Water School
• Kenneth D. Price, STUDENT INTERN
• Claire Elizabeth Pringle, CCC-SLP
• Francis Gilbert Proctor, DPH
• Professional Hearing Healthcare PC
• Propps Consulting LLC
• Carolyn Puckett

• Licensed Vocational Nurse in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Licensed Vocational Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.