Individual provider Active NPI

Lisa Burton

  • Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1912395898
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76997 Issued in OK
Practice address
921 14TH Ave NW
Ardmore, OK 73401-1837
Phone
(580) 223-5311
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 76997 OK Primary

Addresses

Primary practice location

921 14TH Ave NW
Ardmore, OK 73401-1837

Mailing address

921 14TH Ave NW
Ardmore, OK 73401-1837
Phone (580) 223-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313000160 OK Practitioner - Nurse Practitioner 0648596478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

921 14TH Ave NW
Ardmore, OK 73401-1837
Phone (580) 223-5311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76997OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Tishomingo, Inc. CurrentSince Jun 10, 2018 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Feb 15, 2015 Accepting new patients
Mercy Hospital Healdton, Inc CurrentSince Jul 27, 2015 Accepting new patients
Mercy Hospital Healdton, Inc. CurrentSince Jul 27, 2015 Accepting new patients
Mercy Hospital Tishomingo, Inc CurrentSince Jun 10, 2018 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

921 14th Ave NW
Ardmore, OK 73401
Phone (580) 223-5311

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

Interoperability endpoints

  • Direct secure messaging: lburton139307@directc.mercy.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1912395898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011837",
            "telephone_number": "580-223-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011837",
            "telephone_number": "580-223-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "76997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.