Medical Foot Tenders, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0063105 Issued in OK

Legal business name

MEDICAL FOOT TENDERS, LLC

Practice address

12021 Hawthorne LN
Oklahoma City, OK 73162-1944

Phone

(405) 625-4187

NPI assigned

Jul 27, 2010

Last updated

Jul 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Cordova

Title

President

Phone

(405) 625-4187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1730493156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 N HAWTHORN LANE",
            "city": "OKC",
            "state": "OK",
            "postal_code": "731621944",
            "telephone_number": "405-625-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 HAWTHORNE LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621944",
            "telephone_number": "405-625-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FOOT TENDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-625-4187"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0063105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.