Active NPI
Lindsay A Shaffer, ARNP, AGNP-C
- Primary Care Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1962234328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 219743
- Practice address
- 313 S Cincinnati Ave PH Suite
Tulsa, OK 74103-3604 - Phone
- (918) 441-0414
- NPI assigned
- Aug 15, 2024
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 219743 | OK | Primary |
Addresses
Primary practice location
313 S Cincinnati Ave PH Suite
Tulsa, OK 74103-3604
Mailing address
313 S Cincinnati Ave PH Suite
Tulsa, OK 74103-3604
Phone (918) 441-0414
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3345 S Harvard Ave
Suite 202
Tulsa, OK 74135-1809
Phone (918) 877-0070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219743 | OK | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Medical Services, PLLC | Current | Accepting new patients |
Locations
3345 S Harvard Ave
Ste 202
Tulsa, OK 74135
Phone (314) 578-8874
Interoperability endpoints
- https://api.platform.athenahealth.com/12574/brand/1/csg/1/fhir/r4
- lindsay.shaffer.1@12574.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1033576418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1962234328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 S CINCINNATI AVE PH SUITE",
"city": "TULSA",
"state": "OK",
"postal_code": "741033604",
"telephone_number": "918-441-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 S CINCINNATI AVE PH SUITE",
"city": "TULSA",
"state": "OK",
"postal_code": "741033604",
"telephone_number": "918-441-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "LINDSAY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "ARNP, AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "219743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Shadow Mountain Behavioral Health System, LLC
- Shadow Mountain Behavioral Health System, LLC
- Shadow Mountain Behavioral Health System, LLC
- Shadow Mountain Behavioral Health System, LLC
- Catherine Anne Shaeffer, M.D.
- Madison Shaffer, BCBA
- Chintan Shah, M.D.
- Dimple Shah, MD
- Kavita K Shah, MD
- Mehvish Shah, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.