JERI L HARGRAVE (NPI# 1346240199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346240199 |
| Entity Type | Individual |
| Full Name | JERI L HARGRAVE |
| Credential | ARNP |
| Practice Address |
117 Park Ave Oklahoma City OK 73102-9030 |
| Mailing Address |
5300 N Independence Ave Ste 280 Oklahoma City OK 73112-5555 |
| Practice Telephone | 4056062260 |
| Practice Fax Number | 4056062241 |
| Mailing Telephone | 4056062260 |
| Mailing Fax Number | 4056062241 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R0037216 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200028310A | 05 |
| Street Address |
117 PARK AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-9030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1003463324 | Krystal Lynn Bills | Nurse Practitioner | 5700 Nw 135th St Ste 200, Oklahoma City, OK 73142-5940 | 2019-08-21 |
| 1730724063 | Joan Elizabeth Kloske | Nurse Practitioner | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2019-11-11 |
| 1134680655 | Ray Zarza Pasion | Nurse Practitioner | 3328 N Classen Blvd, Oklahoma City, OK 73118-3428 | 2019-03-27 |
| 1669941894 | Amelia Roubideaux | Nurse Practitioner | 3613 Nw 56th St Ste 385, Oklahoma City, OK 73112-4531 | 2018-11-16 |
| 1336627223 | Thomas Tedford Cook | Nurse Practitioner | 5700 N Portland Ave Ste 102, Oklahoma City, OK 73112-1650 | 2018-08-01 |
| 1578072542 | Kathy Speigel | Nurse Practitioner | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2017-09-21 |
| 1932340478 | Kimberly A Allen | Nurse Practitioner | 608 Nw 9th St Ste 6200, Oklahoma City, OK 73102-1017 | 2009-03-12 |
| 1780773036 | Sally Jett | Nurse Practitioner | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-10-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
Please comment or provide details below to improve the information on JERI L HARGRAVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.