Lisa Scantlen

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

231 E Graham Ave
Pryor, OK 74361-2436

Phone

(918) 825-1405

Fax

(918) 825-1406

NPI assigned

Jul 9, 2015

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1669855524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 EUFAULA AVE",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031132",
            "telephone_number": "918-348-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E GRAHAM AVE",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743612436",
            "telephone_number": "918-825-1405",
            "fax_number": "918-825-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANTLEN",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Nicole Rutzer, RN
• Caleb Rylee
• S Bar D, Inc.
• Anita K Sanders, LADC, BHP
• Peter Sarfatis, MD
• Scarbow Lake Emergency Physicians LLC
• Wendi Schaffitzel, PT, CHT
• James Keith Schardein II, CADC
• Matthew S Schenck
• Cynthia M. Scogin

• Peer Specialist in Pryor, OK
• Providers in Pryor, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.