NPIMap

Individual provider Active NPI

Ashley Bouknight

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1205440351
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
102378 Issued in OK
Practice address
3366 NW Expressway
Building D, Suite 400
Oklahoma City, OK 73112
Phone
(405) 702-1300
NPI assigned
Sep 6, 2020
Last updated
Sep 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 102378 OK Primary

Addresses

Primary practice location

3366 NW Expressway
Building D, Suite 400
Oklahoma City, OK 73112

Mailing address

12132 NW 133Rd Ter
Piedmont, OK 73078-3019
Phone (405) 388-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210104001794 OK Practitioner - Nurse Practitioner 0143633586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Disease Specialists IncGroup PAC ID 7315939279, 18 clinicians

Practice addresses (Care Compare)

10029 N Oklahoma Ave
Suite 200
Oklahoma City, OK 73114-7454
Phone (405) 702-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
102378OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abouknight520863@direct.integrisok.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1205440351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12132 NW 133RD TER",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730783019",
            "telephone_number": "405-388-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "BUILDING D, SUITE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-702-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUKNIGHT",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "102378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.