Active NPI
Tracie LR Ojakangas, NP-C
- Family Nurse Practitioner
- Springfield, MO
National Provider Identifier
1194016527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1110060
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2010041402 | MO | MD | Registered Nurse |
| F1110060 | MO | MD | Family 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.