Active NPI
Jayme Provine
- Lactation Consultant (Registered Nurse)
- Norman, OK
National Provider Identifier
1962054882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L30456
- Practice address
- 3300 Healthplex Parkway
Lactation Dept
Norman, OK 73072 - Phone
- (405) 515-3532
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L30456 | OK | Primary |
Addresses
Primary practice location
3300 Healthplex Parkway
Lactation Dept
Norman, OK 73072
Mailing address
3300 Healthplex Parkway
Lactation Dept
Norman, OK 73072
Phone (405) 515-3532
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 |
|---|---|---|---|
| L30456 | OK | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1962054882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 HEALTHPLEX PARKWAY",
"address_2": "LACTATION DEPT",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072",
"telephone_number": "405-515-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HEALTHPLEX PARKWAY",
"address_2": "LACTATION DEPT",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072",
"telephone_number": "405-515-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVINE",
"first_name": "JAYME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OK",
"license": "L30456",
"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 Jul 11, 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.