Heather Janelle Blagg, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

214759 Issued in OK

Practice address

1020 N Lawson Blvd
Clayton, OK 74536

Phone

(918) 917-9999

Fax

(918) 569-7343

NPI assigned

Aug 10, 2023

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic - Broken Bow

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Broken Bow

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1073296604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "745360219",
            "telephone_number": "918-917-9999",
            "fax_number": "918-569-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N LAWSON BLVD",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "74536",
            "telephone_number": "918-917-9999",
            "fax_number": "918-569-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGG",
        "first_name": "HEATHER",
        "middle_name": "JANELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "214759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Baughman, RPH
• Best Life RX, LLC (Clayton Pharmacy)
• Best Life RX, LLC (Clayton Pharmacy)
• Paula Sue Brown, NP
• Clayton Pharmacy
• Clayton Public School
• Curatio Hospice Inc
• Mitsi A Faubion, DO

• Family Nurse Practitioner in Clayton, OK
• Providers in Clayton, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.

Verify at the official NPI Registry.