Individual provider Active NPI

Heather D Stanley, APRN-CNP

  • Family Nurse Practitioner
  • Midwest City, OK
National Provider Identifier
1093077430
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
96233 Issued in OK
Practice address
2801 S Douglas Blvd
Ste 108
Midwest City, OK 73130-7184
Phone
(405) 737-3278
Fax
(405) 737-0240
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 96233 OK Primary

Addresses

Primary practice location

2801 S Douglas Blvd
Ste 108
Midwest City, OK 73130-7184

Mailing address

2801 S Douglas Blvd
Ste 108
Midwest City, OK 73130-7184
Phone (405) 737-3278

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000286 OK Practitioner - Nurse Practitioner 4284880121 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96233OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Oct 1, 2021 Accepting new patients
True North Health Navigation LLC CurrentSince Oct 1, 2021 Accepting new patients
The Physicians Group LLC CurrentSince Mar 30, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

4400 Grant Blvd
Yukon, OK 73099
Phone (405) 467-4440

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1093077430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S DOUGLAS BLVD",
            "address_2": "STE 108",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307184",
            "telephone_number": "405-737-3278",
            "fax_number": "405-737-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S DOUGLAS BLVD",
            "address_2": "STE 108",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307184",
            "telephone_number": "405-737-3278",
            "fax_number": "405-737-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "HEATHER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "96233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.