LAUREN NICOLE WILLEMS (NPI# 1316551559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316551559 |
| Entity Type | Individual |
| Full Name | LAUREN NICOLE WILLEMS |
| Practice Address |
1265 S Utica Ave Ste 300 Tulsa OK 74104-4243 |
| Mailing Address |
9228 S Mingo Rd Ste 200 Tulsa OK 74133-5722 |
| Practice Telephone | 9185920999 |
| Practice Fax Number | 9185921021 |
| Mailing Telephone | 9185920999 |
| Mailing Fax Number | 9185921021 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
107076 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1265 S UTICA AVE STE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447269725 | Joseph J Gard | Internal Medicine | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2006-08-05 |
| 1831666726 | Kayla Marie Rials | Physician Assistant | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-10-29 |
| 1982189585 | Cherri Dianne Foster | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-09-28 |
| 1356828594 | Andrea Diane Willibey | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1669974754 | Stephanie R Johnson | Physician Assistant | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-03-05 |
| 1437650108 | Dacia Elise Pittsley | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-02-27 |
| 1437670585 | Lauren E Stegemann | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2017-06-29 |
| 1275066839 | Elizabeth Baird Walton | Physician Assistant | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2017-04-10 |
| 1164805834 | Natalee Pendergraft | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2015-06-30 |
| 1457732893 | Charles Spradlin | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2015-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245657378 | Kelsey Schumacher | Nurse Practitioner | 1705 S 19th St., Ste 302, Tulsa, OK 74104 | 2014-03-26 |
| 1457528614 | Ingrid Patton | Nurse Practitioner | 2000 S Wheeling Ave Ste 200, Tulsa, OK 74104-5656 | 2008-05-15 |
| 1730797523 | John Anthony Dean Maslin | Nurse Practitioner | 6465 S Yale Ave Ste 507, Tulsa, OK 74136-7807 | 2020-07-17 |
| 1922622869 | Emily Suku | Nurse Practitioner | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2020-06-06 |
| 1760006886 | Tani Reynolds Calvert | Nurse Practitioner | 1923 S Utica Ave Fl 4, Tulsa, OK 74104-6520 | 2020-06-04 |
| 1720614373 | Michelle Diane Rivera | Nurse Practitioner | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2020-03-16 |
| 1790318426 | Pavel Greg Buzadzhi | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2020-02-21 |
| 1962047563 | Houston Reed Slemp | Nurse Practitioner | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-11-07 |
| 1518518117 | Laura Whitaker | Nurse Practitioner | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5642 | 2019-09-25 |
| 1013569524 | Pamela Sue Woodward | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1992 | 2019-07-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.