Individual provider Active NPI

Cristina Leann Pickle, RN, IBCLC, RLC

  • Specialist
  • Tulsa, OK
National Provider Identifier
1669657342
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
10011 S Yale Ave
Tulsa, OK 74137-6041
Phone
(918) 293-2992
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

10011 S Yale Ave
Tulsa, OK 74137-6041

Mailing address

10022 S 86TH East Ave
Tulsa, OK 74133-5599
Phone (918) 605-2032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1669657342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 S 86TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335599",
            "telephone_number": "918-605-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376041",
            "telephone_number": "918-293-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLE",
        "first_name": "CRISTINA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 8, 2009; 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.