Individual provider Active NPI

Lauren Ann Giddens, DPM

  • Podiatrist
  • Collinsville, OK
National Provider Identifier
1689319915
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
392 Issued in OK
Practice address
12939 E 116TH St N
Collinsville, OK 74021-5278
Phone
(918) 592-9020
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 392 OK Primary

Addresses

Primary practice location

12939 E 116TH St N
Collinsville, OK 74021-5278

Mailing address

12939 E 116TH St N
Collinsville, OK 74021-5278
Phone (918) 592-9020

Other practice location 1

5795 S Elm Pl
Broken Arrow, OK 74011-4893
Phone (918) 592-9020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001000886 OK Practitioner - Podiatry 7416336722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wound Treatment LLCGroup PAC ID 2668968603, 3 clinicians
Metro Tulsa Foot and Ankle Specialist PLLCGroup PAC ID 1759293046, 11 clinicians

Practice addresses (Care Compare)

5795 S Elm PL
Broken Arrow, OK 74011-4893
Phone (918) 592-9020

701 W Elgin St
Broken Arrow, OK 74012-2402
Phone 91849429021007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
392OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Treatment LLC CurrentSince Nov 16, 2025 Accepting new patients
Advanced Wound Therapy CurrentSince Aug 1, 2025 Accepting new patients

Locations

5795 S Elm Pl
Broken Arrow, OK 74011
Phone (918) 716-5437

12939 E 116th St N
Collinsville, OK 74021
Phone (918) 727-2800

2488 E 81st St
Ste 2000
Tulsa, OK 74137
Phone (918) 803-1190

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1689319915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12939 E 116TH ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215278",
            "telephone_number": "918-592-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12939 E 116TH ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215278",
            "telephone_number": "918-592-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5795 S Elm Pl",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740114893",
            "country_code": "US",
            "telephone_number": "918-592-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, OK

Sources for this page

Verify at the official NPI Registry.