OKLAHOMA CITY VA HEALTHCARE SYSTEM (NPI# 1205207867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205207867 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CITY VA HEALTHCARE SYSTEM |
| Other Organization Name | DEPARTMENT OF VETERANS AFFAIRS |
| Practice Address |
921 Ne 13th St Oklahoma City OK 73104-5007 |
| Practice Telephone | 4054561000 |
| Mailing Telephone | 4054561000 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | MRS. MELISSA LATRICE LITTLE (CNP) |
| Authorized Official Telephone | 4054561000 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
79193 | OK | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 79193 | OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Department of Veterans Affairs | Other Name - Individual/Organization |
| Street Address |
921 NE 13TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770691 | Jill Davis Anderson | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2005-09-16 |
| 1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
| 1346848918 | Devon Marie Ponds-foster | Registered Nurse | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-15 |
| 1962009357 | Heather Mae Holzbauer-schweitzer | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1083211478 | Kacie Marie Ingram | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1801402680 | Suifen Dong | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-17 |
| 1770198244 | Hayley Ellen Sewell | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1912512484 | Amanda Toebe | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1760095970 | Christy Tran | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-26 |
| 1861002347 | Caitlin Ann Lohrenz | Case Manager/Care Coordinator | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1144882325 | Focused Adult LLC | Clinic/Center | 5900 Mosteller Dr Unit 3, Oklahoma City, OK 73112-4640 | 2019-07-08 |
| 1518460047 | Revive Clinic LLC | Clinic/Center | 13316 S Western Ave Ste F, Oklahoma City, OK 73170-7309 | 2018-03-12 |
| 1881144095 | Osu Center for Health Sciences | Clinic/Center | 9821 S May Ave, Suite B, Oklahoma City, OK 73159-7042 | 2016-10-12 |
| 1760884886 | Oklahoma Neurodiagnostics, LLC | Clinic/Center | 5350 S Western Ave Ste 732, Oklahoma City, OK 73109-4535 | 2014-09-19 |
| 1396151171 | Board of Regents of The Univ of Okla-stephenson Specialty Pharmacy | Clinic/Center | 800 Ne 10th St Ste 1044, Oklahoma City, OK 73104-5418 | 2014-07-01 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1932462603 | Precision Health Services Inc/urgent Care | Clinic/Center | 7250 Nw Expressway Ste 202, Oklahoma City, OK 73132-1522 | 2012-06-19 |
| 1578855409 | Anibal Avila Md Professional Corporation PC | Clinic/Center | 1111 Sw 44th St, Oklahoma City, OK 73109-3601 | 2011-05-11 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.