Individual provider Active NPI

Linh Khanh Thuy Sramek, APRN-CNP

  • Nurse Practitioner
  • Moore, OK
National Provider Identifier
1265100978
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
205279 Issued in OK
Practice address
308 SE 7TH Cir
Moore, OK 73160-6716
Phone
(405) 201-2669
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0106628 OK
Nurse Practitioner 363L00000X 205279 OK Primary

Addresses

Primary practice location

308 SE 7TH Cir
Moore, OK 73160-6716

Mailing address

13700 S Western Ave
Ste 100
Oklahoma City, OK 73170-7006
Phone (405) 806-7246

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211106000103 OK Practitioner - Nurse Practitioner 0345639621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0106628OKMDRegistered Nurse
205279OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Mar 3, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Mar 3, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

920 Stanton L Young Blvd
Ste 2410
Oklahoma City, OK 73104

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1265100978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 S WESTERN AVE",
            "address_2": "STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731707006",
            "telephone_number": "405-806-7246",
            "fax_number": "405-703-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SE 7TH CIR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606716",
            "telephone_number": "405-201-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRAMEK",
        "first_name": "LINH",
        "middle_name": "KHANH THUY",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0106628",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "205279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.