Individual provider Active NPI

Anthony Lee Rockefeller, R.N.

  • Rehabilitation Registered Nurse
  • Tulsa, OK
National Provider Identifier
1811961022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
R0062167 Issued in OK
Practice address
8523 E 11TH St
Suite A2
Tulsa, OK 74112-7963
Phone
(918) 836-9100
Fax
(918) 836-9106
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X R0062167 OK Primary

Addresses

Primary practice location

8523 E 11TH St
Suite A2
Tulsa, OK 74112-7963

Mailing address

8523 E 11TH St
Suite A2
Tulsa, OK 74112-7963
Phone (918) 836-9100

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

State licenses

LicenseStateTypeSpecialty
R0062167OKMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811961022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 E 11TH ST",
            "address_2": "SUITE A2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741127963",
            "telephone_number": "918-836-9100",
            "fax_number": "918-836-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 E 11TH ST",
            "address_2": "SUITE A2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741127963",
            "telephone_number": "918-836-9100",
            "fax_number": "918-836-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKEFELLER",
        "first_name": "ANTHONY",
        "middle_name": "LEE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "OK",
            "license": "R0062167",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.