My Family Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MY FAMILY HEALTHCARE LLC

Practice address

1708 Delivery LN
Durant, OK 74701-2292

Phone

(580) 924-5622

Fax

(580) 745-5060

NPI assigned

Nov 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Renee Nelson, APRNNPI 1154602332

Title

Health Care Provider

Phone

(580) 924-5622

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Renee Nelson, ARNP

  • Family Nurse Practitioner
  • Durant, OK
  • NPI 1154602332

  Family, OK

  Medicare reassignment Care Compare group NPD Authorized official
• Kennedy Brooke Decker-Walters, APRN-CNP

  • Family Nurse Practitioner
  • Durant, OK
  • NPI 1700014867

  Family, OK

  Medicare reassignment Care Compare group NPD
• Brian Spencer Lee, DO

  • Family Medicine Physician
  • Durant, OK
  • NPI 1295911287

  Family Medicine, OK

  Medicare reassignment Care Compare group NPD
• Mallory Lyn Earthman, APRN

  • Nurse Practitioner
  • Denison, TX
  • NPI 1912660762

  OK

  Medicare reassignment NPD
• Emily Ault, APRN

  • Primary Care Nurse Practitioner
  • Ardmore, OK
  • NPI 1477957355
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1013380385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 DELIVERY LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012292",
            "telephone_number": "580-924-5622",
            "fax_number": "580-745-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 DELIVERY LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012292",
            "telephone_number": "580-924-5622",
            "fax_number": "580-745-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-08",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "580-924-5622",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Moyer
• Srikanth Mudiganty, MD
• Jordan Mulder
• Cassie Mullens
• Jessica Paige Mullens
• Natural Pain Solutions PLC
• Debbie Neal
• McKenzie Sara Neal
• Deshondra Kay Needham
• Jeffrey C Neilson, MD

• All providers in Durant, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.