LORI LYN ENLOW NURSE PRACTITIONER NPI 1700875598

NPI Information

  • NPI: 1700875598
  • Provider Name: LORI LYN ENLOW, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1203 E ROSS BYP
    SUITE A
    TAHLEQUAH, OK
    ZIP 74464
  • Phone: (918) 453-1234

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NPI Details

Lori Lyn Enlow, NURSE PRACTITIONER is a nurse practitioner in Tahlequah, OK with 24 years of experience. The provider is (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. Lori Lyn Enlow, NURSE PRACTITIONER NPI is 1700875598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1203 E ROSS BYP
SUITE A
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 453-1234
Fax: (918) 453-9107

The NPI 1700875598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 10/14/2005 and was last updated on 6/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerR0067005OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DA5295OTHEROKLAHOMARAILROAD MEDICARE GROUP NUMBER
2200073760AMEDICAIDOKLAHOMA
3400522239OTHEROKLAHOMAMEDICARE GROUP PTAN
4P00399872OTHEROKLAHOMARAILROAD MEDICARE PIN NUMBER
5200000030AOTHEROKLAHOMAMEDICAID GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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