Individual provider Active NPI

Julie Lynne Vasquez

  • Nurse Practitioner
  • Norman, OK
National Provider Identifier
1174211841
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
214941 Issued in OK
Practice address
4019 N Flood Ave
Norman, OK 73069-8354
Phone
(405) 295-7833
NPI assigned
May 1, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 214941 OK Primary
Infusion Therapy Registered Nurse 163WI0500X R0089282 OK

Addresses

Primary practice location

4019 N Flood Ave
Norman, OK 73069-8354

Mailing address

18232 310TH St
Norman, OK 73072-8701
Phone (405) 831-7133

Other practice location 1

120 Thompson Dr
Norman, OK 73069-5245
Phone (405) 646-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
16.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
54.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0089282OKMDInfusion Therapy Registered Nurse
214941OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyworx Primary Care, LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

4019 N Flood Ave
Norman, OK 73069
Phone (405) 253-5076

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1174211841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18232 310TH ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730728701",
            "telephone_number": "405-831-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 N FLOOD AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730698354",
            "telephone_number": "405-295-7833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Thompson Dr",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730695245",
            "country_code": "US",
            "telephone_number": "405-646-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JULIE",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "214941",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "OK",
            "license": "R0089282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.