Active NPI
Kerri Leigh Tiedeman
- Pharmacist
- Norman, OK
National Provider Identifier
1851959423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10951
- Practice address
- 500 E Robinson St
Norman, OK 73071-6697 - Phone
- (405) 364-5020
- Fax
- (405) 364-5021
- NPI assigned
- May 30, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10951 | OK | Primary |
Addresses
Primary practice location
500 E Robinson St
Norman, OK 73071-6697
Mailing address
4308 Kensal Rise PL
Norman, OK 73072-9654
Phone (405) 620-0121
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 |
|---|---|---|---|
| 10951 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1851959423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 KENSAL RISE PL",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729654",
"telephone_number": "405-620-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E ROBINSON ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716697",
"telephone_number": "405-364-5020",
"fax_number": "405-364-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEDEMAN",
"first_name": "KERRI",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.