Amy Rae Lide, is a
Registered Nurse based in Oklahoma City, Oklahoma. Amy Rae Lide is licensed to practice in Oklahoma (license number 221832) and her current practice location is
4400 N Lincoln Blvd, Oklahoma City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 424-7711.
NPI number for Amy Rae Lide is 1063887313 and her current mailing address is 8417 Blackberry Rdg, Edmond, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063887313.
Healthcare Provider's Profile
Full Name | Amy Rae Lide |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 4400 N Lincoln Blvd, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063887313
- Provider Enumeration Date: 12/10/2015
- Last Update Date: 03/19/2025
Medical Identifiers
Medical identifiers for Amy Rae Lide such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063887313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | 221832 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Rae Lide is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Rae Lide, 8417 Blackberry Rdg, Edmond, OK 73034-2008 Ph: () - | Amy Rae Lide, 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 Ph: (405) 424-7711 |
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