Individual provider Active NPI

Amber Dawn Zamora, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1043872856
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88070 Issued in OK
Practice address
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone
(405) 896-8058
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 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 88070 OK Primary

Addresses

Primary practice location

101 W Hefner Rd
Oklahoma City, OK 73114-6631

Mailing address

101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone (405) 896-8058

Other names 1

  • Amber Dawn Braswell Former name

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
I20191010001450 OK Practitioner - Nurse Practitioner 1557692241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR Midwest City LLCGroup PAC ID 9830554377, 5 clinicians

Practice addresses (Care Compare)

8121 National Ave
Suite 105
Midwest City, OK 73110-7570
Phone (405) 694-4042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88070OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NR Midwest City LLC CurrentSince Mar 25, 2024 Accepting new patients
Companion Hospice LLC PastSince May 26, 2024 Accepting new patients

Locations

3908 N Peniel Ave
Ste 450
Bethany, OK 73008

8121 National Ave
Ste 105
Midwest City, OK 73110
Phone (405) 694-4042

Interoperability endpoints

  • Direct secure messaging: amber.zamora.1@25216.direct.athenahealth.com

Organizations & group practices 2

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1043872856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146631",
            "telephone_number": "405-896-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146631",
            "telephone_number": "405-896-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BRASWELL",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.