Individual provider Active NPI

Tracie LR Ojakangas, NP-C

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1194016527
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1110060 Issued in MO
Practice address
4661 N Farm Road 159
Springfield, MO 65803-8123
Phone
(417) 833-6824
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2010041402 MO
Family Nurse Practitioner 363LF0000X F1110060 MO Primary

Addresses

Primary practice location

4661 N Farm Road 159
Springfield, MO 65803-8123

Mailing address

4661 N Farm Road 159
Springfield, MO 65803-8123
Phone (417) 833-6824

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

State licenses

LicenseStateTypeSpecialty
2010041402MOMDRegistered Nurse
F1110060MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1194016527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 N FARM ROAD 159",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658038123",
            "telephone_number": "417-833-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4661 N FARM ROAD 159",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658038123",
            "telephone_number": "417-833-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJAKANGAS",
        "first_name": "TRACIE",
        "middle_name": "LR",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2010041402",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F1110060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.