OKLAHOMA SLEEP INSTITUTE CLINIC - EDMOND (NPI# 1982029781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982029781 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SLEEP INSTITUTE CLINIC - EDMOND |
| Practice Address |
14101 N Eastern Ave Suite D Edmond OK 73013-5859 |
| Mailing Address |
13900 Wireless Way Suite 100 Oklahoma City OK 73134-2505 |
| Practice Telephone | 4056062727 |
| Practice Fax Number | 4056067040 |
| Mailing Telephone | 4056062727 |
| Mailing Fax Number | 4056067040 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | MIKE GOLD (CEO) |
| Authorized Official Telephone | 4056062727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14101 N EASTERN AVE SUITE D |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-5859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570578 | Charles A Mcwilliams | Urology | 14101 N Eastern Ave, Suite C, Edmond, OK 73013-5859 | 2006-04-27 |
| 1639518038 | Creative Care Pharmacy, LLC | Pharmacy | 14101 N Eastern Ave, Suite A, Edmond, OK 73013-5859 | 2013-06-19 |
| 1306185087 | Traci Denise Bartley | Social Worker | 14101 N Eastern Ave, Edmond, OK 73013-5859 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322240 | Lacey Campbell | Nurse Practitioner | 6124 Beverly Hills Dr, Edmond, OK 73034-8690 | 2020-09-30 |
| 1760017321 | Jennyfer Lynn Livingston | Nurse Practitioner | 105 S Bryant Ave # 205, Edmond, OK 73034-6399 | 2020-03-04 |
| 1770123655 | Jennifer Katherine Yeaman | Nurse Practitioner | 4905 Nw 155th St, Edmond, OK 73013-9666 | 2020-01-08 |
| 1922505593 | Heather Hollingsworth Hallmark | Nurse Practitioner | 544 Nw 172nd Pl, Edmond, OK 73012-6778 | 2018-04-10 |
| 1740792431 | Michelle R Lacy | Nurse Practitioner | 6600 Blackberry Rd, Edmond, OK 73034-9421 | 2017-11-02 |
| 1093225989 | Charles M Fofang | Nurse Practitioner | 1812 Brittany Ln, Edmond, OK 73003-3810 | 2017-10-04 |
| 1285171413 | James Lewis Constanzer | Nurse Practitioner | 14562 S Western Ave, Edmond, OK 73025-1645 | 2017-01-26 |
| 1982630778 | Carrie A Schmidt Konen | Nurse Practitioner | 3217 Hunter Crest Dr, Edmond, OK 73034-0002 | 2006-06-23 |
| 1871554808 | Kim B. Knox | Nurse Practitioner | 19409 N Portland Ave, Edmond, OK 73012-9117 | 2006-03-29 |
| 1588655070 | Monica Esparza | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2005-11-02 |
| Find all providers in EDMOND | ||||
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| 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.