Riccarra Mychael Smith, LPN

Licensed Practical Nurse in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1013801752

StatusActive

Last updated in NPPESJun 6, 2025

Details

NPI: 1013801752
Entity type: Individual (NPI-1)
Name: Riccarra Mychael Smith
Credential: LPN
Sex: Female
Sole proprietor: No
Enumeration date: Jun 6, 2025
Certification date: Jun 6, 2025
Last updated: Jun 6, 2025

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
164W00000X	Licensed Practical Nurse	221846	OK	Yes

Practice location

1737 Linwood Blvd
Oklahoma City, OK 73106-5033

Phone 405-510-0417 · Fax 405-278-3574

Mailing address

1737 Linwood Blvd
Oklahoma City, OK 73106-5033

Phone 405-510-0417 · Fax 405-278-3574

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Oklahoma City, OK

All 187 Licensed Practical Nurse providers in Oklahoma City · All 27,799 providers in Oklahoma City

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