NPIMap

Organization Active NPI

The Downtown Clinic

  • Family Nurse Practitioner
  • Shawnee, OK
National Provider Identifier
1124362173
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69925 Issued in OK
Legal business name
THE DOWNTOWN CLINIC
Practice address
104 North Oklahoma Ave
Shawnee, OK 74801-7005
Phone
(405) 275-1457
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Kendra Ann SpeightNPI 1184935496
Title
Aprn-CNP
Phone
(405) 275-1457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 69925 OK Primary

Addresses

Primary practice location

104 North Oklahoma Ave
Shawnee, OK 74801-7005

Mailing address

104 North Oklahoma Ave
Shawnee, OK 74801-7005
Phone (405) 275-1457

National Provider Directory

National Provider Directory

Locations

104 N Oklahoma Ave
Shawnee, OK 74801
Phone (405) 275-1457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1124362173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NORTH OKLAHOMA AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017005",
            "telephone_number": "405-275-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NORTH OKLAHOMA AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017005",
            "telephone_number": "405-275-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOWNTOWN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "SPEIGHT",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "APRN-CNP",
        "authorized_official_telephone_number": "405-275-1457"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "69925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.