PREMIER HEALTHCARE, APRN-CNP (NPI# 1144847542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144847542 |
Entity Type | Organization |
Organization Name | PREMIER HEALTHCARE, APRN-CNP |
Practice Address |
12208 South Western Avenue, Suite B Oklahoma City OK 73170 |
Mailing Address |
1308 River Birch Run Moore OK 73160-1378 |
Practice Telephone | 4052011333 |
Mailing Telephone | 4052011333 |
Enumeration Date | 2020-07-01 |
Last Update Date | 2020-07-01 |
Authorized Official Name | ROY M SLOOTHEER (PRESIDENT/EMPLOYER) |
Authorized Official Telephone | 4052011333 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12208 SOUTH WESTERN AVENUE, SUITE B |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
1063957066 | Shoma Moriasha Gayah | Physical Therapist | 1634 Sw122nd St, Oklahoma City, OK 73170 | 2016-12-29 |
Find all providers in zip 73170 |
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 |
1003463324 | Krystal Lynn Bills | Nurse Practitioner | 5700 Nw 135th St Ste 200, Oklahoma City, OK 73142-5940 | 2019-08-21 |
1346240199 | Jeri L Hargrave | Nurse Practitioner | 117 Park Ave, Oklahoma City, OK 73102-9030 | 2005-07-22 |
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 | 73170 |
Please comment or provide details below to improve the information on PREMIER HEALTHCARE, APRN-CNP.
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.