Individual provider Active NPI

Linzi Ruth Mackey, CNP

  • Nurse Practitioner
  • Tuttle, OK
National Provider Identifier
1720820442
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
217900 Issued in OK
Practice address
5233 Kye Dr
Tuttle, OK 73089-0089
Phone
(405) 933-4270
NPI assigned
Jun 12, 2024
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 217900 OK Primary

Addresses

Primary practice location

5233 Kye Dr
Tuttle, OK 73089-0089

Mailing address

5233 Kye Dr
Tuttle, OK 73089-0089
Phone (405) 933-4270

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
I20250314003324 OK Practitioner - Nurse Practitioner 3072035435 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Mar 1, 2025 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Mar 1, 2025 Accepting new patients
Paradigm Wound Specialists LLC Nurse Practitioner CurrentSince Dec 8, 2025 Accepting new patients
Healthcare Stat of Newcastle LLC CurrentSince Oct 1, 2025 Accepting new patients
Healthcare Stat CurrentSince Oct 1, 2025 Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1619 S 4th St
Chickasha, OK 73018
Phone (405) 224-6700

2400 S Country Club Rd
El Reno, OK 73036
Phone (405) 262-6112

704 N Main St
Newcastle, OK 73065
Phone (405) 669-0908

1201 E Hartford Ave
Ponca City, OK 74601
Phone (580) 762-1911

3105 E Skelly Dr
Ste 310
Tulsa, OK 74105
Phone (918) 599-7404

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1720820442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KYE DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730890089",
            "telephone_number": "405-933-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 KYE DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730890089",
            "telephone_number": "405-933-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "LINZI",
        "middle_name": "RUTH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "217900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuttle, OK

Sources for this page

Verify at the official NPI Registry.