Mary Lou Nurriestearns, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1077 Issued in OK

Practice address

4870 S Lewis Ave
Suite 205
Tulsa, OK 74105-5151

Phone

(918) 745-9233

Fax

(918) 683-1445

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bart Trentham, PLLC

  • Psychologist
  • Tulsa, OK
  • NPI 1881917151
  NPD (past)
• Dr. Peteryne D. Miller, M.D. LLC

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1356828305
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1861422149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE",
            "address_2": "SUITE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055151",
            "telephone_number": "918-745-9233",
            "fax_number": "918-683-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE",
            "address_2": "SUITE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055151",
            "telephone_number": "918-745-9233",
            "fax_number": "918-683-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURRIESTEARNS",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah S Nunn, B.S., D. C.
• Thomas Van Nunn, D.O.
• Teresa Nunnally
• Phyllis Nuno
• Muhammad Saleh Nur, PT, DPT
• Nurse Practitioner Services of Oklahoma
• Nurtured in Natural Environments Ranch, LLC
• Rebecca Michelle Nuss, MD
• Charlee Nussbaum, PTA
• Ryan Andrew Nussbaum, PA-C

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.