Individual provider Active NPI

Ami Whitley

  • Pediatric Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1013591676
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
TBD Issued in OK
Practice address
9480 N May Ave
Oklahoma City, OK 73120-2712
Phone
(405) 876-7876
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X TBD OK Primary

Addresses

Primary practice location

9480 N May Ave
Oklahoma City, OK 73120-2712

Mailing address

2725 SE 93Rd St
Moore, OK 73160-9167
Phone (405) 249-5448

Other practice location 1

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-1456 ext. 30658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220218001488 OK Practitioner - Nurse Practitioner 8224422167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TBDOKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QS Peds Med LLC CurrentSince Jun 11, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 6, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 6, 2022 Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

1221 N Kelly Ave
Edmond, OK 73003
Phone (405) 285-8799

1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429

1200 Childrens Ave
Ste 14000
Oklahoma City, OK 73104
Phone (405) 271-4401

9480 N May Ave
Oklahoma City, OK 73120
Phone (405) 876-7876

8500 S Western Ave
Oklahoma City, OK 73139

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: whitley.ami.1@29732.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1013591676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 SE 93RD ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731609167",
            "telephone_number": "405-249-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202712",
            "telephone_number": "405-876-7876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Childrens Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731044637",
            "country_code": "US",
            "telephone_number": "405-271-1456 x30658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "AMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.