Organization Active NPI

Sturgeon Family Nurse Practitioner Health Care,PLC

  • Family Nurse Practitioner
  • Tahlequah, OK
National Provider Identifier
1093074650
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
49778 Issued in OK
Legal business name
STURGEON FAMILY NURSE PRACTITIONER HEALTH CARE,PLC
Practice address
18 Plaza South St
Tahlequah, OK 74464-4751
Phone
(918) 207-0970
Fax
(918) 207-0971
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Jo Ann Sturgeon, APRN
Title
Manager
Phone
(918) 207-0970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 49778 OK Primary

Addresses

Primary practice location

18 Plaza South St
Tahlequah, OK 74464-4751

Mailing address

18 Plaza South St
Tahlequah, OK 74464-4751
Phone (918) 207-0970

National Provider Directory

National Provider Directory

Locations

18 Plaza South St
Tahlequah, OK 74464
Phone (918) 207-0970

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1093074650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PLAZA SOUTH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644751",
            "telephone_number": "918-207-0970",
            "fax_number": "918-207-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PLAZA SOUTH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644751",
            "telephone_number": "918-207-0970",
            "fax_number": "918-207-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURGEON FAMILY NURSE PRACTITIONER HEALTH CARE,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "STURGEON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-207-0970",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "49778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.