Active NPI
Phyllis Yvonne Geckler, LPN
- Licensed Practical Nurse
- Mead, OK
National Provider Identifier
1821377334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 24021
- Practice address
- 5912 Highway 70 E
Mead, OK 73449 - Phone
- (580) 745-9083
- Fax
- (580) 745-9885
- NPI assigned
- Aug 15, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 24021 | OK | Primary |
Addresses
Primary practice location
5912 Highway 70 E
Mead, OK 73449
Mailing address
1381 Sawmill Rd
Durant, OK 74701-1008
Phone (580) 920-2819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200049040 | Medicaid | OK |
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 |
|---|---|---|---|
| 24021 | OK | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1821377334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1381 SAWMILL RD",
"city": "DURANT",
"state": "OK",
"postal_code": "747011008",
"telephone_number": "580-920-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5912 HIGHWAY 70 E",
"city": "MEAD",
"state": "OK",
"postal_code": "73449",
"telephone_number": "580-745-9083",
"fax_number": "580-745-9885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GECKLER",
"first_name": "PHYLLIS",
"middle_name": "YVONNE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "24021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200049040",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mead, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.