1003849159 NPI number — MS. FRANCES BEVERLY RAPP

Table of content: MS. FRANCES BEVERLY RAPP (NPI 1003849159)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003849159 NPI number — MS. FRANCES BEVERLY RAPP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAPP
Provider First Name:
FRANCES
Provider Middle Name:
BEVERLY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAPP
Provider Other First Name:
BEVERLY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LADC , LMFT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1003849159
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6501 GALAXIE TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73132-7023
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-843-7005
Provider Business Mailing Address Fax Number:
405-720-7029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6051 N BROOKLINE AVE STE 129
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73112-4273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-843-7005
Provider Business Practice Location Address Fax Number:
405-720-7029
Provider Enumeration Date:
07/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  55 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 601 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)