Active NPI
Jennifer Lee Unruh, ARNP
- Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1083928303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0062209
- Practice address
- 500 SW 44TH St
Oklahoma City, OK 73109-3540 - Phone
- (405) 632-6688
- Fax
- (844) 689-9671
- NPI assigned
- Jul 28, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0062209 | OK | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 20101919 | OK | |
| Pediatric Nurse Practitioner | 363LP0200X | 20101919 | OK |
Addresses
Primary practice location
500 SW 44TH St
Oklahoma City, OK 73109-3540
Mailing address
3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0062209 | OK | MD | Nurse Practitioner |
| 20101919 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Regional Hospital Authority | Past | Accepting new patients |
Interoperability endpoints
- junruh@victor-t-wilson-md-pc.amazing-direct.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.
-
dba Variety Care, Straka
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1780697813
-
dba Norman Regional
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1083928303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N GRAND BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071818",
"telephone_number": "405-632-6688",
"fax_number": "405-604-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SW 44TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093540",
"telephone_number": "405-632-6688",
"fax_number": "844-689-9671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNRUH",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0062209",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "20101919",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "20101919",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- University of Oklahoma College of Medicine
- University of Oklahoma Heal Sci Ctr College of Medicine Ophthalmology
- University of Oklahoma Health Science Center
- University Oral & Maxillo Facial Surgeons
- University Oral & Maxillofacial Surgeons
- Micky Renee Unruh, LPC
- Kayla Unsell, MD
- Robert S Unsell, MD
- Jacob Charles Unsicker, PA
- Pavithra Upadhya
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.