Active NPI
Linda Kay Witherspoon, LPN
- Licensed Practical Nurse
- Oklahoma City, OK
National Provider Identifier
1750625042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0045138
- Practice address
- 1214 N Hudson Ave
Oklahoma City, OK 73103-3717 - Phone
- (405) 239-6815
- Fax
- (405) 239-2637
- NPI assigned
- Nov 27, 2012
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0045138 | OK | Primary |
Addresses
Primary practice location
1214 N Hudson Ave
Oklahoma City, OK 73103-3717
Mailing address
30901 Memorial Rd
McLoud, OK 74851-9118
Phone (405) 816-8876
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0045138 | OK | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1750625042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30901 MEMORIAL RD",
"city": "MCLOUD",
"state": "OK",
"postal_code": "748519118",
"telephone_number": "405-816-8876",
"fax_number": "405-239-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 N HUDSON AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731033717",
"telephone_number": "405-239-6815",
"fax_number": "405-239-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "LINDA",
"middle_name": "KAY",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "0045138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.