Teri Leedom

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

105 N Zulkey St
Sallisaw, OK 74955-3040

Phone

(918) 774-8379

NPI assigned

Mar 19, 2015

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

Practice roles

Locations

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.

• Stigler Health and Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Stigler, OK
  • NPI 1891752853
  Medicare reassignment NPD
• Oklahoma Treatment Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1306277082
  NPD (past)

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1982098794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N ZULKEY ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749553040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N ZULKEY ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749553040",
            "telephone_number": "918-774-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDOM",
        "first_name": "TERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Labs
• Tierney Lamp
• Matthew Landeen, DO
• Seth Lattimore
• Johanna Lea
• Life Care Inc.
• James Kasen Lisonbee, DO
• Local Home Care, Inc.
• Local Hospice, Inc.
• Ashley Lynn Loewen, LCSW

• Case Manager/Care Coordinator in Sallisaw, OK
• Providers in Sallisaw, 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 Mar 19, 2015; 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.