Active NPI
Lori Suzanne Frock, RN
- Psychiatric Residential Treatment Facility
- Ardmore, OK
National Provider Identifier
1760782882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Practice address
- 66 Overland RT
Ardmore, OK 73401 - Phone
- (580) 465-9971
- Fax
- (580) 276-3324
- NPI assigned
- Oct 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
66 Overland RT
Ardmore, OK 73401
Mailing address
PO Box 506
Ardmore, OK 73401
Phone (580) 465-9971
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
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1760782882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 506",
"city": "ARDMORE",
"state": "OK",
"postal_code": "73401",
"telephone_number": "580-465-9971",
"fax_number": "580-276-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 OVERLAND RT",
"city": "ARDMORE",
"state": "OK",
"postal_code": "73401",
"telephone_number": "580-465-9971",
"fax_number": "580-276-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROCK",
"first_name": "LORI",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-22",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.