Active NPI
Hilary Dawn-Anthony Nicholson, APRN-CNP
- Pediatric Nurse Practitioner
- Collinsville, OK
National Provider Identifier
1184865479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R0067311
- Practice address
- 1101 W Main St
Ste 112
Collinsville, OK 74021-3112 - Phone
- (918) 553-8613
- Fax
- (918) 371-2332
- NPI assigned
- Mar 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R0067311 | OK | Primary |
Addresses
Primary practice location
1101 W Main St
Ste 112
Collinsville, OK 74021-3112
Mailing address
1101 W Main St
Ste 112
Collinsville, OK 74021-3112
Phone (918) 553-8613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0067311 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasured Pediatric Care Hilary Nicholson Aprn-CNP, PLLC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11664/brand/1/csg/1/fhir/r4
- hilary.nicholson.1@18337.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Collinsville, OK
- NPI 1275916744
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1184865479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W MAIN ST",
"address_2": "STE 112",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213112",
"telephone_number": "918-553-8613",
"fax_number": "918-371-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W MAIN ST",
"address_2": "STE 112",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213112",
"telephone_number": "918-553-8613",
"fax_number": "918-371-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "HILARY",
"middle_name": "DAWN-ANTHONY",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "R0067311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, OK
- Jason Keith Miles, DO
- Al Tharyn Nacthigall, DPH
- Kimberly Shay Nash, PT, DPT
- Jerome Neal Jr.
- Cassandra Lana Nichols
- North County Operations LLC (North County Assisted Living)
- North County Operations SNF LLC (North County Center for Nursing and Rehabilitation)
- North County Senior Living LLC (North County Assisted Living)
- North County Senior Living, LLC (North County Center for Nursing and Rehabilitation)
- Nurse Cass, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.