Individual provider Active NPI

Jennifer Le

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1689233272
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
102855 Issued in OK
Practice address
2809 NW 31St St
Oklahoma City, OK 73112-7406
Phone
(405) 730-0771
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 102855 OK Primary

Addresses

Primary practice location

2809 NW 31St St
Oklahoma City, OK 73112-7406

Mailing address

2809 NW 31St St
Oklahoma City, OK 73112-7406
Phone (405) 730-0771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623001810 OK Practitioner - Nurse Practitioner 1052733953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2809 NW 31St St
Oklahoma City, OK 73112-7406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Single Specialty CurrentSince May 25, 2021 Accepting new patients
Legacy Wellness Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Guiding Right, Inc. Single Specialty CurrentSince Oct 17, 2020 Accepting new patients

Locations

927 SW D Ave
Lawton, OK 73501
Phone (580) 699-8052

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

2809 NW 31st St
Oklahoma City, OK 73112
Phone (405) 733-0771

4400 Grant Blvd
Yukon, OK 73099
Phone (405) 467-4440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20973/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1689233272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 NW 31ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127406",
            "telephone_number": "405-730-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 NW 31ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127406",
            "telephone_number": "405-730-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "102855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.