Family Medicine & Urgent Care of Chandler, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0080778 Issued in OK

Legal business name

FAMILY MEDICINE & URGENT CARE OF CHANDLER, LLC

Practice address

405 N. Industrial Rd.
Chandler, OK 74834

Phone

(405) 258-6711

Fax

(405) 258-6722

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Sherry Diann Mitchell, APRN

Title

Aprn-CNP

Phone

(405) 240-7059

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1174995336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N. INDUSTRIAL RD.",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "74834",
            "telephone_number": "405-258-6711",
            "fax_number": "405-258-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N. INDUSTRIAL RD.",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "74834",
            "telephone_number": "405-258-6711",
            "fax_number": "405-258-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE & URGENT CARE OF CHANDLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "DIANN",
        "authorized_official_title_or_position": "APRN-CNP",
        "authorized_official_telephone_number": "405-240-7059",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0080778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ellis
• Angela Lynn Evans
• Donna E. Evans, CM-A/BHRS
• Jennifer Beth Evans, C-CHW
• Karl Dean Evans Jr., OD
• Ashley Farmer, B.A.
• Belinda Farrow
• Andrew Steven Floyd
• Jeffrey Wayne Frank
• Frankberg Chandler LLC

• Family Nurse Practitioner in Chandler, OK
• Providers in Chandler, 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 Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.