Nicole L. Cupp DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

301 Issued in OK

Legal business name

NICOLE L. CUPP DPM PLLC

Practice address

226 SE Debell Ave
Bartlesville, OK 74006-2343

Phone

(918) 876-0476

Fax

(918) 876-0479

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Lynn Cupp, DPMNPI 1619298346

Title

Physician

Phone

(918) 331-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Podiatry of Bartlesville Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Lynn Cupp, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bartlesville, OK
  • NPI 1619298346
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434240000000",
    "number": "1831570910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-876-0476",
            "fax_number": "918-876-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-876-0476",
            "fax_number": "918-876-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE L. CUPP DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2015-06-14",
        "status": "A",
        "authorized_official_last_name": "CUPP",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-331-6422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200526540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Podiatry of Bartlesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vernon Lee Newby, DVM
• Newview Oklahoma Inc.
• Sarah Neyman
• Johnlason Nguyen, DMD
• Brett Dosson Nicholson
• Janice L Nitzschke, LCSW
• Allison Janean Nixon
• Andrew Max Noble, D.D.S.
• Khyrstee Daven Norman
• Northeast Oklahoma Radiology Physicians LLC

• Foot & Ankle Surgery Podiatrist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Foot & Ankle Surgery Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.