Red River Valley Health PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RED RIVER VALLEY HEALTH PLLC

Practice address

11530 Ridge Rd Ste 1
Thackerville, OK 73459-9623

Phone

(580) 276-9066

Fax

(580) 276-9063

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel S Presley, APRNNPI 1568093334

Title

Owner

Phone

(405) 568-5055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25325/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Presley

  • Nurse Practitioner
  • Ada, OK
  • NPI 1568093334
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1154088839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11530 RIDGE RD STE 1",
            "city": "THACKERVILLE",
            "state": "OK",
            "postal_code": "734599623",
            "telephone_number": "580-276-9066",
            "fax_number": "580-276-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 RIDGE RD STE 1",
            "city": "THACKERVILLE",
            "state": "OK",
            "postal_code": "734599623",
            "telephone_number": "580-276-9066",
            "fax_number": "580-276-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER VALLEY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-568-5055",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainey Jo Hitt, RN
• Casey Jon Hucks, LPC
• Cynthia Pickens
• Thackerville Medical Clinic
• Thackerville Pharmacy
• Thackerville Public Schools

• Family Nurse Practitioner in Thackerville, OK
• Providers in Thackerville, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.