Individual provider Active NPI

Brooke A Hunt, APRN

  • Family Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1154887446
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79013 Issued in OK
Practice address
10512 N 110TH East Ave Ste 130
Owasso, OK 74055
Phone
(918) 376-8149
NPI assigned
Feb 12, 2019
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 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 79013 OK Primary

Addresses

Primary practice location

10512 N 110TH East Ave Ste 130
Owasso, OK 74055

Mailing address

1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3825

Other practice location 1

14470 Ski Chief
Skiatook, OK 74070-6517
Phone (918) 625-1383

Other practice location 2

14470 Ski Chief
Skiatook, OK 74070-6517
Phone (918) 625-1383

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
I20190806002104 OK Practitioner - Nurse Practitioner 7315274982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

10512 N 110TH E Ave
Suite 210
Owasso, OK 74055-6701
Phone (918) 376-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79013OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Jun 12, 2019 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jun 12, 2019 Accepting new patients
Bailey Medical Center, LLC Past Accepting new patients

Locations

10512 N 110th East Ave
Ste 130
Owasso, OK 74055
Phone (918) 376-8149

10512 N 110th East Ave
Ste 210
Owasso, OK 74055
Phone (918) 376-8900

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: bhunt262185@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1154887446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044013",
            "telephone_number": "918-579-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 N 110TH EAST AVE STE 130",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-376-8149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14470 Ski Chief",
            "address_purpose": "LOCATION",
            "city": "Skiatook",
            "state": "OK",
            "postal_code": "740706517",
            "country_code": "US",
            "telephone_number": "918-625-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14470 Ski Chief",
            "address_purpose": "LOCATION",
            "city": "Skiatook",
            "state": "OK",
            "postal_code": "740706517",
            "country_code": "US",
            "telephone_number": "918-625-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "79013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.