Organization Active NPI

Foot Traffic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Stillwater, OK
National Provider Identifier
1972947315
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
80 Issued in OK
Legal business name
FOOT TRAFFIC, LLC
Practice address
724 S Main St
Stillwater, OK 74074-4668
Phone
(405) 707-3005
Fax
(405) 707-3033
NPI assigned
Apr 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mrs. Collett Julena Campbell, CPED, LPED
Title
LLC Sole Member, Owner
Phone
(405) 707-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 80 OK Primary

Addresses

Primary practice location

724 S Main St
Stillwater, OK 74074-4668

Mailing address

724 S Main St
Stillwater, OK 74074-4668
Phone (405) 707-3005

National Provider Directory

National Provider Directory

Locations

724 S Main St
Stillwater, OK 74074
Phone (405) 707-3005

NPI Registry JSON

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1972947315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-707-3005",
            "fax_number": "405-707-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-707-3005",
            "fax_number": "405-707-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT TRAFFIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "COLLETT",
        "authorized_official_middle_name": "JULENA",
        "authorized_official_title_or_position": "LLC SOLE MEMBER, OWNER",
        "authorized_official_telephone_number": "405-707-3005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPED, LPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "80",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.