Individual provider Active NPI

Jyoti Pandey, FNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1063980423
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
94786 Issued in OK
Practice address
19 NE 50TH St
Oklahoma City, OK 73105-1807
Phone
(405) 516-0276
NPI assigned
Nov 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 94786 OK Primary

Addresses

Primary practice location

19 NE 50TH St
Oklahoma City, OK 73105-1807

Mailing address

19 NE 50TH St
Oklahoma City, OK 73105-1807

Other practice location 1

19 NE 50th St
Oklahoma City, OK 73105-1807
Phone (405) 516-0276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20211018000492 DE Practitioner - Nurse Practitioner 3476951799 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94786OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Spine Center PA CurrentSince Nov 1, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince May 26, 2022 Accepting new patients
Christiana Spine Center PA CurrentSince Nov 1, 2021 Accepting new patients
Christiana Care Health Services Inc CurrentSince May 26, 2022 Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

1101 Twin C Ln
Ste 202
Newark, DE 19713
Phone (302) 636-1164

4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Phone (302) 602-7000

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4701 Ogletown Stanton Rd
Ste 4200
Newark, DE 19713
Phone (302) 658-7533

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGGAD
  • Direct secure messaging: jyoti.pandey@dclp.ikm.direct-ci.com

Organizations & group practices 5

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": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1063980423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731051807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731051807",
            "telephone_number": "405-516-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 NE 50th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731051807",
            "country_code": "US",
            "telephone_number": "405-516-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "JYOTI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "94786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.