Active NPI
Lana Kay Gourley, PA
- Physician Assistant
- Tulsa, OK
National Provider Identifier
1720058183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 237
- Practice address
- 4444 E 41St St
3Rd Floor, Ste B
Tulsa, OK 74135-2527 - Phone
- (918) 582-0721
- Fax
- (918) 582-4751
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 237 | OK | Primary |
Addresses
Primary practice location
4444 E 41St St
3Rd Floor, Ste B
Tulsa, OK 74135-2527
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 660-3632
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1720058183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268838",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268838",
"telephone_number": "918-660-3632",
"fax_number": "918-660-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 E 41ST ST",
"address_2": "3RD FLOOR, STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741352527",
"telephone_number": "918-582-0721",
"fax_number": "918-582-4751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURLEY",
"first_name": "LANA",
"middle_name": "KAY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.