Active NPI
Julia L Vana, ARNP, CPNP
- Pediatric Nurse Practitioner
- Lovington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- CNP-03021
- Practice address
- 1600 North Main
Lovington, NM 88260-2830 - Phone
- (575) 396-6611
- Fax
- (575) 396-1454
- NPI assigned
- Mar 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0058464 | OK | |
| Pediatric Nurse Practitioner | 363LP0200X | CNP-03021 | NM | Primary |
Addresses
Primary practice location
1600 North Main
Lovington, NM 88260-2830
Mailing address
1600 North Main
Lovington, NM 88260-2830
Phone (575) 396-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91959004 | Medicaid | NM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0058464 | OK | MD | Nurse Practitioner |
| CNP-03021 | NM | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1200 Childrens Ave
#6A
Oklahoma City, OK 73104
Phone (405) 271-6827
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
1200 Childrens Ave
Ste 6A
Oklahoma City, OK 73104
Phone (405) 271-6827
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1063480317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 NORTH MAIN",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 NORTH MAIN",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANA",
"first_name": "JULIA",
"middle_name": "L",
"credential": "ARNP, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-12",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0058464",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NM",
"license": "CNP-03021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91959004",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.