Life Vision

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3696 Issued in OK

Legal business name

LIFE VISION

Practice address

2101 N Ash St
Ponca City, OK 74601-1106

Phone

(580) 716-4787

NPI assigned

Oct 7, 2013

Organization subpart

No

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

Authorized official

Name

Tera Biaggi, LCSWNPI 1962647206

Title

Clinical Director

Phone

(580) 716-4787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tera Leah Biaggi, LCSW

  • Clinical Social Worker
  • Ponca City, OK
  • NPI 1962647206
  NPD (past) Authorized official

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1699102640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 S Q ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746017565",
            "telephone_number": "580-716-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N ASH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011106",
            "telephone_number": "580-716-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "BIAGGI",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "580-716-4787",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200288910C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasha Leon, LADC-MH
• Kelly Rae Lesley, M.S.
• Samuel Grady Lewis, RTR,RPA,RA,CBRPA
• Taylor Lewis, APRN-CNP
• Summer Dawn Lieb
• Limb Salvage International
• Limb Salvage International
• Limb Salvage International, Inc
• Lincare Inc.
• Anna Cheyenne Lindell

• Community/Behavioral Health Agency in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.