Individual provider Active NPI

Louella Spottedwolf, RN, BSN

  • Community Health Registered Nurse
  • Claremore, OK
National Provider Identifier
1679038996
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
56173 Issued in OK
Practice address
Claremore Indian Hospital
101 S. Moore Avenue
Claremore, OK 74019
Phone
(918) 342-6538
Fax
(918) 342-6312
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 56173 OK Primary

Addresses

Primary practice location

Claremore Indian Hospital
101 S. Moore Avenue
Claremore, OK 74019

Mailing address

5674 S 445
Salina, OK 74365-2765
Phone (918) 530-8025

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
56173OKMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1679038996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 S 445",
            "city": "SALINA",
            "state": "OK",
            "postal_code": "743652765",
            "telephone_number": "918-530-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLAREMORE INDIAN HOSPITAL",
            "address_2": "101 S. MOORE AVENUE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74019",
            "telephone_number": "918-342-6538",
            "fax_number": "918-342-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOTTEDWOLF",
        "first_name": "LOUELLA",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "56173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.