Anny Lou Mandapat Dunham, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101037 Issued in OK

Practice address

1142 SW 104TH Street
Oklahoma City, OK 73139

Phone

(405) 691-3100

Fax

(405) 691-3106

NPI assigned

Oct 21, 2019

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anny Lou Lumanog Mandapat Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Best Physicians at Home, IncGroup PAC ID 7012138662, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Best Home Health Care, Inc Home health agency, Chandler, OK, CCN 377698
• Care Plus Home Health Care, Inc Home health agency, Tulsa, OK, CCN 377674

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Physicians at Home, Inc

  dba Physicians At Home, Inc

  • General Practice Physician
  • Chandler, OK
  • NPI 1447659768
  Medicare reassignment Care Compare group NPD
• Absolute Best Care Oklahoma LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1932887163
  Medicare reassignment NPD
• Bryant Street Family Medicine, P.C.

  • Primary Care Clinic/Center
  • Edmond, OK
  • NPI 1396909446
  NPD
• First Med Primary Care LLC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1447899778
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care Plus Home Health Care Inc

  dba Care Plus Home Care

  • Home Health Agency
  • Tulsa, OK
  • NPI 1730147570
  Care Compare affiliation
• Prairie View Home Health,Inc.

  dba Best Home Health Care, Inc.

  • Home Health Agency
  • Chandler, OK
  • NPI 1477599934
  Care Compare affiliation

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1194368316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 N EASTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311816",
            "telephone_number": "405-513-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 SW 104TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-691-3100",
            "fax_number": "405-691-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 N Kelly Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730034865",
            "country_code": "US",
            "telephone_number": "405-844-1663",
            "fax_number": "405-285-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12401 Oak Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Jones",
            "state": "OK",
            "postal_code": "730498205",
            "country_code": "US",
            "telephone_number": "405-565-8710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13310 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731311816",
            "country_code": "US",
            "telephone_number": "405-513-7333",
            "fax_number": "405-413-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "ANNY LOU",
        "middle_name": "MANDAPAT",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "101037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNY LOU",
            "last_name": "MANDAPAT",
            "middle_name": "LUMANOG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Darlla Denise Duniphin, PA-C
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• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, 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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.