Individual provider Active NPI

Therese D Miner, ARNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1033148697
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0062899 Issued in OK
Practice address
1918 NE 23Rd St
Oklahoma City, OK 73111-3328
Phone
(405) 453-8000
Fax
(405) 561-4984
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0062899 OK Primary

Addresses

Primary practice location

1918 NE 23Rd St
Oklahoma City, OK 73111-3328

Mailing address

PO Box 740013
Atlanta, GA 30374-0013
Phone (312) 733-9730

Other practice location 1

1029 E Vandament Ave
Yukon, OK 73099-4949
Phone (405) 350-4300

Other practice location 2

2130 SW 59th St
Oklahoma City, OK 73119-7025
Phone (403) 303-7555

Other practice location 3

11511 E 31st St
Tulsa, OK 74146-1908
Phone (918) 400-7002

Other practice location 4

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

Other practice location 5

7521 SE 15th St
Midwest City, OK 73110-5425
Phone (405) 453-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050422000709 TX Practitioner - Nurse Practitioner 1153369772
I20070228000472 OK Practitioner - Nurse Practitioner 1153369772 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Oklahoma, LLCGroup PAC ID 1355746769, 31 clinicians

Practice addresses (Care Compare)

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

1918 NE 23Rd St
Oklahoma City, OK 73111-3328
Phone (405) 453-8000

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0062899OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Family Clinic LLC CurrentSince May 15, 2017 Accepting new patients
Optimum Post Acute Care PLLC CurrentSince Dec 8, 2025 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Nurse Practitioner CurrentSince Oct 2, 2023 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 5, 2009 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 5, 2009 Accepting new patients
Oak Street Health of Georgia PC Nurse Practitioner Past Accepting new patients
Mercy Access LLC Past Accepting new patients
Richard H Tidwell MD PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Renee Roy, MD PC Past Accepting new patients

Locations

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

7521 SE 15th St
Midwest City, OK 73110
Phone (405) 453-8004

1918 NE 23rd St
Oklahoma City, OK 73111
Phone (405) 453-8000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

3717 S Western Ave
Oklahoma City, OK 73109
Phone (405) 601-6000

10700 S Pennsylvania Ave
Oklahoma City, OK 73170
Phone (405) 378-7600

2130 SW 59th St
Oklahoma City, OK 73119
Phone (403) 303-7555

11511 E 31st St
Tulsa, OK 74146
Phone (918) 400-7002

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1033148697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740013",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 NE 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731113328",
            "telephone_number": "405-453-8000",
            "fax_number": "405-561-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 E Vandament Ave",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730994949",
            "country_code": "US",
            "telephone_number": "405-350-4300",
            "fax_number": "405-350-4302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 SW 59th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731197025",
            "country_code": "US",
            "telephone_number": "403-303-7555",
            "fax_number": "405-561-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11511 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741461908",
            "country_code": "US",
            "telephone_number": "918-400-7002",
            "fax_number": "539-202-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1538 N Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741102535",
            "country_code": "US",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7521 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731105425",
            "country_code": "US",
            "telephone_number": "405-453-8004",
            "fax_number": "405-561-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "THERESE",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0062899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.