NPIMap

Organization Active NPI

Fhcokc, Inc

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1144556952
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FHCOKC, INC
Practice address
6102 NW 63Rd St Ste a
Oklahoma City, OK 73132-7526
Phone
(405) 373-2400
Fax
(405) 373-4400
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Antonia M. Pratt-Reid, APRNNPI 1477595635
Title
Ceo
Phone
(405) 373-2400

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 Primary

Addresses

Primary practice location

6102 NW 63Rd St Ste a
Oklahoma City, OK 73132-7526

Mailing address

PO Box 660
Piedmont, OK 73078-0660
Phone (405) 373-2400

Other identifiers 1

IdentifierTypeStateIssuer
200323320AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130307000059 OK Part B Supplier - Clinic/Group Practice 7618122177 Receives reassigned benefits from 9 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

6102 NW 63rd St
Ste A
Oklahoma City, OK 73132
Phone (405) 373-2400

Practitioners & affiliated clinicians

Practitioners 11

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": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1144556952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730780660",
            "telephone_number": "405-373-2400",
            "fax_number": "405-373-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 NW 63RD ST STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731327526",
            "telephone_number": "405-373-2400",
            "fax_number": "405-373-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHCOKC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "PRATT-REID",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-373-2400",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200323320A",
            "state": "OK"
        }
    ],
    "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 Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.