Nicole Lung

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3806 N Oak Grove Dr
Apt. 612
Midwest City, OK 73110-3533

Phone

(405) 408-3198

Fax

(405) 231-3705

NPI assigned

Feb 8, 2017

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1912445149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 N OAK GROVE DR",
            "address_2": "APT. 612",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103533",
            "telephone_number": "405-408-3198",
            "fax_number": "405-231-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 N OAK GROVE DR",
            "address_2": "APT. 612",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103533",
            "telephone_number": "405-408-3198",
            "fax_number": "405-231-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrianna Lucio, RBT
• Lauryn Ludwig
• Melvin Lugrand
• Rashaunda Lugrand, NLP, DOULA, IPC
• Melodie Luke
• Stephen H Lutz
• Christopher Patrick Lyons, O.D.
• Kamyah Lyons
• Jorge Madamba, DDS
• Sierra Maddox

• Case Manager/Care Coordinator in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.