Betty Gunter, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

29631 Issued in OK

Practice address

205 E Ray Fine Blvd Ste 6
Roland, OK 74954-5381

Phone

(918) 503-6235

Fax

(918) 503-6239

NPI assigned

Jul 16, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Madron Medical Clinic

  • Specialist
  • Roland, OK
  • NPI 1285068791
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669856035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 E 1095 RD",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E RAY FINE BLVD STE 6",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545381",
            "telephone_number": "918-503-6235",
            "fax_number": "918-503-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Jenny Lind Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729017632",
            "country_code": "US",
            "telephone_number": "479-308-3856",
            "fax_number": "479-308-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "BETTY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L030492",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "29631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Smith Hma Home Health, LLC (Sparks Health System Home Health)
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• John C Friedl, D.O.
• Vanessa Fry
• Kylee Laine Graham, NP
• Ashley Brooke Hawkins
• Healing Waters Home Health LLC
• Lavonda Ann Hensley, L.P.T.A.
• Isaiah Counseling LLC
• Vicki Jeremiah

• Licensed Practical Nurse in Roland, OK
• Providers in Roland, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.