Tracee Chouinard, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

207449 Issued in OK

Practice address

5606 SW Lee Blvd Ste 201
Lawton, OK 73505-9651

Phone

(580) 699-5333

NPI assigned

Jan 3, 2024

Last updated

Feb 28, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Wonder Kids Specialty Pediatrics PLLC

  • Pediatrics Physician
  • Lawton, OK
  • NPI 1750913117
  NPD (past)

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1215707005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256937 E 1790 RD",
            "city": "GERONIMO",
            "state": "OK",
            "postal_code": "735435228",
            "telephone_number": "602-999-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD STE 201",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059651",
            "telephone_number": "580-699-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUINARD",
        "first_name": "TRACEE",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "207449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Chinn
• Robert Miles Chisholm III, M.D.
• Danny Choate Jr.
• Steven Seungpyo Choi, DDS
• Ann Chorman, LCSW
• Chris Larrow PLLC (Lawton Kids Dentistry and Braces)
• Christian Family Counseling Center Inc
• Beatrice S Christopher, M.D.
• Jason Lee Christy, DO
• Samantha Christy, PA

• Pediatric Nurse Practitioner in Lawton, OK
• Providers in Lawton, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.