Ancy Johnson Parackal, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A0711086 Issued in OK

Practice address

10109 E 79TH St
Tulsa, OK 74133-4564

Phone

(918) 286-5000

Fax

(918) 249-7532

NPI assigned

Nov 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ancy Johnson Abraham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1184901332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-286-5000",
            "fax_number": "918-249-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-286-5000",
            "fax_number": "918-249-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARACKAL",
        "first_name": "ANCY",
        "middle_name": "JOHNSON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "A0711086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANCY",
            "last_name": "ABRAHAM",
            "middle_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pappas Incorporated
• Elizabeth Pappas
• Elizabeth Lenis Pappas, CNA
• Sean T Paquette, PA-C
• Amal Intakhab Paracha
• Paradigm Hormones Tulsa, PLLC
• Paradigm Wound Specialists LLC
• Paradigms Inc
• Paragon Medical Group Inc
• Paramount Surgical Assisting

• Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.