Individual provider Active NPI

Karen Lavon Gregory, CNS

  • Acute Care Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1033218896
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
725403 Issued in TX
Practice address
750 NE 13TH Street
Oklahoma City, OK 73104-5051
Phone
(405) 235-0040
Fax
(405) 235-4495
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R71506 OK
Nurse Practitioner 363L00000X R0071506 OK
Acute Care Clinical Nurse Specialist 364SA2100X 725403 TX Primary

Addresses

Primary practice location

750 NE 13TH Street
Oklahoma City, OK 73104-5051

Mailing address

750 NE 13TH Street
Oklahoma City, OK 73104-5051
Phone (405) 235-0040

Other identifiers 1

IdentifierTypeStateIssuer
200113920AMedicaidOK

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
I20070914000426 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 4082710025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Allergy and Asthma ClinicGroup PAC ID 5294710927, 12 clinicians

Practice addresses (Care Compare)

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone 4052350040315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R71506OKMDSpecialist
R0071506OKMDNurse Practitioner
725403TXMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Allergy & Asthma Clinic Specialist CurrentSince Sep 1, 2007 Accepting new patients

Locations

3560 S Boulevard
Ste 150
Edmond, OK 73013

750 NE 13th St
Ste 300
Oklahoma City, OK 73104

750 NE 13th St
Oklahoma City, OK 73104
Phone (405) 235-0040

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71186
  • Direct secure messaging: karen.gregory@oklahomaallergy.directbygreenway.com

Organizations & group practices 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1033218896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 13TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045051",
            "telephone_number": "405-235-0040",
            "fax_number": "405-235-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045051",
            "telephone_number": "405-235-0040",
            "fax_number": "405-235-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KAREN",
        "middle_name": "LAVON",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "R71506",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0071506",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "TX",
            "license": "725403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200113920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.