Penni Young Garland, RNC, ARNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R0076634 Issued in OK

Practice address

1101 S Belmont Ave
Ste. 105
Okmulgee, OK 74447-6315

Phone

(918) 756-2533

Fax

(918) 756-9588

NPI assigned

Apr 17, 2006

Last updated

May 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Broken Arrow Medical Group LLC

  • General Practice Physician
  • Tulsa, OK
  • NPI 1386676153
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1245294016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S BELMONT AVE",
            "address_2": "STE. 105",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476315",
            "telephone_number": "918-756-2533",
            "fax_number": "918-756-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S BELMONT AVE",
            "address_2": "STE. 105",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476315",
            "telephone_number": "918-756-2533",
            "fax_number": "918-756-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "PENNI",
        "middle_name": "YOUNG",
        "credential": "RNC, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OK",
            "license": "R0076634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200053850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomasine L. Fife, LADC
• Autumn Breeze Flurry
• Charlitha Fowler
• Roslyn Richelle Franklin
• Jimmy Lee Fuller, MA, LPC
• Lacy Garrison, APRN
• Brianna George, APRN, FNP-C
• Christina Cassandra Gerena, FNP-C
• Ethan Joseph Gerstein, OD
• Sara-Ann Gill

• Obstetrics & Gynecology Nurse Practitioner in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Obstetrics & Gynecology Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.