Active NPI
Lesa Roy, AUD
- Audiologist
- Bartlesville, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 6020
- Practice address
- 205 SE Howard Ave
Bartlesville, OK 74006-2204 - Phone
- (918) 333-0474
- Fax
- (918) 333-5225
- NPI assigned
- Jun 3, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-2993 | NV | |
| Audiologist | 231H00000X | |||
| Audiologist | 231H00000X | 6020 | OK | Primary |
Addresses
Primary practice location
205 SE Howard Ave
Bartlesville, OK 74006-2204
Mailing address
205 SE Howard Ave
Bartlesville, OK 74006-2204
Phone (918) 333-0474
Other practice location 1
9005 S Pecos Rd Ste 2520
Henderson, NV 89074-7191
Phone (702) 818-5000
Other practice location 2
401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000
Other practice location 3
11545 N Frank Lloyd Wright Blvd Apt 2161
Scottsdale, AZ 85259-3187
Phone (918) 809-1653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-2993 | NV | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients |
Locations
3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555
205 SE Howard Ave
Bartlesville, OK 74006
Phone (918) 333-0474
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1669048179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SE HOWARD AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062204",
"telephone_number": "918-333-0474",
"fax_number": "918-333-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SE HOWARD AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062204",
"telephone_number": "918-333-0474",
"fax_number": "918-333-5225"
}
],
"practiceLocations": [
{
"address_1": "9005 S Pecos Rd Ste 2520",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890747191",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 N Buffalo Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891450397",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11545 N Frank Lloyd Wright Blvd Apt 2161",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852593187",
"country_code": "US",
"telephone_number": "918-809-1653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "LESA",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NV",
"license": "A-2993",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "6020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.