Individual provider Active NPI

Anita Alaniz, MSN, WHNP, FNP-C

  • Primary Care Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1205973377
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
217614 Issued in OK
Practice address
20 12TH Ave NW
Ardmore, OK 73401-5722
Phone
(580) 223-3411
Fax
(580) 226-6213
NPI assigned
Jan 30, 2007
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1288 AZ
Family Nurse Practitioner 363LF0000X 55488 TX
Primary Care Nurse Practitioner 363LP2300X 217614 OK Primary
Women's Health Nurse Practitioner 363LW0102X AP0341 AZ

Addresses

Primary practice location

20 12TH Ave NW
Ardmore, OK 73401-5722

Mailing address

PO Box 746079
Atlanta, GA 30374-6079
Phone (312) 733-9730

Other practice location 1

1104 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 226-0523

Other identifiers 1

IdentifierTypeStateIssuer
809395MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090414000540 TX Practitioner - Nurse Practitioner 4981751799 Reassigns benefits to 2 organizations
I20240626001054 OK Practitioner - Nurse Practitioner 4981751799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Community Clinic, Inc.Group PAC ID 4284936337, 19 clinicians

Practice addresses (Care Compare)

1104 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-3411

1116 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-3411

20 12TH Ave NW
Ardmore, OK 73401-5722
Phone (580) 223-3411

2401 N Commerce St
Ardmore, OK 73401-1280
Phone (580) 226-0543

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
55488TXMDPharmacist
217614OKMDPrimary Care Nurse Practitioner
AP0341AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 29, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 29, 2021 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Good Shepherd Community Clinic, Inc. CurrentSince Jun 18, 2024 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Dec 28, 2015 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1104 Walnut Dr
Ardmore, OK 73401
Phone 5802233411308

1116 Walnut Dr
Ardmore, OK 73401
Phone (580) 226-0543

20 12th Ave NW
Ardmore, OK 73401
Phone (580) 223-3411

2401 N Commerce St
Ardmore, OK 73401
Phone (580) 226-0410

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

2900 Village Pkwy
Ste 300
Highland Village, TX 75077
Phone (469) 800-0500

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 6

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 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1205973377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015722",
            "telephone_number": "580-223-3411",
            "fax_number": "580-226-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734012353",
            "country_code": "US",
            "telephone_number": "580-226-0523",
            "fax_number": "580-226-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALANIZ",
        "first_name": "ANITA",
        "credential": "MSN, WHNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "55488",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "217614",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP0341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809395",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.