Active NPI
Jennifer Waldron, APRN
- Family Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1124487673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 83035
- Practice address
- 5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556 - Phone
- (405) 949-3349
- Fax
- (405) 945-5467
- NPI assigned
- Feb 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 83035 | OK | Primary |
Addresses
Primary practice location
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Mailing address
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jwaldron11621@direct.integrisok.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1124487673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-949-3349",
"fax_number": "405-945-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-949-3349",
"fax_number": "405-945-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "JENNIFER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-12",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "83035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.