Individual provider Active NPI

Abigail J Laymon, APRN-CNP

  • Adult Health Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1750679585
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
91952 Issued in OK
Practice address
1124 S Saint Louis Ave Ste 2
Tulsa, OK 74120-5413
Phone
(918) 592-0296
Fax
(918) 592-0286
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 91952 OK Primary

Addresses

Primary practice location

1124 S Saint Louis Ave Ste 2
Tulsa, OK 74120-5413

Mailing address

1124 S Saint Louis Ave
Tulsa, OK 74120-5413
Phone (918) 592-0296

Other identifiers 1

IdentifierTypeStateIssuer
200399210AMedicaidOK

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

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1750679585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 S SAINT LOUIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205413",
            "telephone_number": "918-592-0296",
            "fax_number": "918-592-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S SAINT LOUIS AVE STE 2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205413",
            "telephone_number": "918-592-0296",
            "fax_number": "918-592-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMON",
        "first_name": "ABIGAIL",
        "middle_name": "J",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "91952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200399210A",
            "state": "OK"
        }
    ],
    "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 Oct 17, 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.

Verify at the official NPI Registry.