New Tradition Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEW TRADITION CLINIC LLC

Practice address

2021 S Elm PL
Broken Arrow, OK 74012-7031

Phone

(918) 806-6461

Fax

(918) 806-6710

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mariah Helen Lee

Title

Owner

Phone

(918) 806-6461

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edelyn O Conrad, P.T.

  • Physical Therapist
  • Yukon, OK
  • NPI 1619088259
  NPD (past)
• Jefferey L Davis, D.O.

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1164459277
  NPD (past)
• Stacy Spears, ARNP

  • Family Nurse Practitioner
  • Sapulpa, OK
  • NPI 1770572091
  NPD (past)
• Kettly Kimberlynn Casimir, CRNP F

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1609903376
  NPD (past)
• Betty Jo Sammer, ARNP

  • Nurse Practitioner
  • Bella Vista, AR
  • NPI 1427000645
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1669405437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127031",
            "telephone_number": "918-806-6461",
            "fax_number": "918-806-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127031",
            "telephone_number": "918-806-6461",
            "fax_number": "918-806-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TRADITION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-806-6461",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200070350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Nelson, PHARM.D.
• Julianna T Nelson, PT
• Networked SLP LLC
• Neurot
• Alex Nevitt, DPT
• Aimee Kathleen Newburry, P.T.
• Newcomb Chiropractic Clinic Inc PC
• Douglas Michael Newcomb, D.C.
• Robert Brent Newcomb, D.C.
• Tamara C Newcomb, PHD

• Clinic/Center in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.