LESLI BULLOCK (NPI# 1568604197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568604197 |
| Entity Type | Individual |
| Full Name | LESLI BULLOCK |
| Practice Address |
3301 Nw 50th St Oklahoma City OK 73112-5627 |
| Practice Telephone | 4059470911 |
| Practice Fax Number | 4059425043 |
| Mailing Telephone | 4059470911 |
| Mailing Fax Number | 4059425043 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2016-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 119449 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 112840 | 05 |
| Street Address |
3301 NW 50TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157344 | Jack Juan Beller | Specialist | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2005-07-13 |
| 1902371222 | Nicholas Howard Wilson | Physician Assistant | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2018-10-12 |
| 1942733464 | Christopher R Cook Do, Pllc | Anesthesiology | 3301 Nw 50th St, Orthopedic Associates of Oklahoma City, Oklahoma City, OK 73112-5627 | 2017-04-11 |
| 1306383633 | Kelsey Olsen | Physician Assistant | 3301 Nw 50th St, Oklahoma City, OK 73112 | 2017-01-25 |
| 1033561931 | Joshua Wilson | Specialist/Technologist | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2016-07-05 |
| 1750765020 | Orthopedic Associates, Inc | Specialist | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2015-07-16 |
| 1811371180 | Orthopedic Associates, Inc | Specialist | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2015-07-16 |
| 1598180986 | Derek Richard Jamison | Registered Nurse | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2014-02-21 |
| 1982949764 | Meghan Harms | Physician Assistant | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2012-12-04 |
| 1982978748 | Faustino Mires Kazenske | Orthopaedic Surgery | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2012-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1952875981 | Brieana Kay Dawson | Nurse Practitioner | 8501 Sw 48th St, Oklahoma City, OK 73179-4622 | 2019-01-12 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1922593771 | Terry Murdock | Nurse Practitioner | 6305 N Villa Ave Apt 13, Oklahoma City, OK 73112-7133 | 2018-06-25 |
| 1487157772 | Misti Jayne Moon-harris | Nurse Practitioner | 8125 S Walker Ave Ste A, Oklahoma City, OK 73139-9417 | 2018-03-13 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1295241891 | Rachel Sims | Nurse Practitioner | 8408 Nw 143rd Ter, Oklahoma City, OK 73142-7002 | 2017-12-18 |
| 1417475997 | Tola Janet Suleiman | Nurse Practitioner | 13024 Almond Dr, Oklahoma City, OK 73170-1152 | 2017-09-05 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on LESLI BULLOCK.
| 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.