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Deactivated NPI 1265520456 Deactivated / Inactive NPI Female Practitioner

Ulyssa Louise Whitehorn , LICENSED PRACTICAL N

Licensed Practical Nurse • Ponca, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ulyssa Whitehorn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date May 17, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Ulyssa Whitehorn, LICENSED PRACTICAL N was a registered Licensed Practical Nurse practicing in Ponca, OK. Throughout an active medical career spanning 17 years, Ulyssa Whitehorn provided care at the practice location at 200 WHITE EAGLE DR until profile deactivation on 2023-05-17.

Practice Location & Contact Primary Location

Practice Address

200 White Eagle Dr

Ponca, OK 74601

Telephone 5807652501
Fax 5807657289
Associated Practice Facility / Clinic
🏢 White Eagle Health Center Facility NPI 1699875724

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Ponca, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ponca, OK (1129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OK L0023504

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Ginny Mashburn , LPN

Licensed Practical Nurse

NPI 1033218912

Licensed Practical Nurse

Sandra Suggs , RN

Registered Nurse

NPI 1043321250

Registered Nurse

Orele Ferguson , NP-C

Nurse Practitioner

NPI 1174158638

Nurse Practitioner (Certified)

Beverly Brown , LPN

Licensed Practical Nurse

NPI 1194060137

Licensed Practical Nurse

NPI 1265520951

Doctor of Optometry

Jake Roberts , LPC

Counselor - Professional

NPI 1396082798

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 200 WHITE EAGLE DR, PONCA, OK 74601 (Tel: 5807652501)

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Updated Business Mailing Address July 08, 2007

Registered at 912 N 1ST, PONCA, OK 74601 (Tel: 5802651188)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ULYSSA WHITEHORN, LICENSED PRACTICAL N

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #L0023504 in OK)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265520456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 08, 2007
Deactivation Date: May 17, 2023

Mailing Address

912 N 1st

Ponca, OK 74601

Phone: 5802651188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.