Individual provider Active NPI

Cortney Ranae Reed, APRN

  • Family Nurse Practitioner
  • Jenks, OK
National Provider Identifier
1285256883
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103238 Issued in OK
Practice address
410 E Main St
Jenks, OK 74037-4135
Phone
(918) 298-5437
Fax
(918) 298-5438
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 103238 OK Primary

Addresses

Primary practice location

410 E Main St
Jenks, OK 74037-4135

Mailing address

410 E Main St
Jenks, OK 74037-4135
Phone (918) 298-5437

Other names 1

  • Ms. Cortney Boomer Former name

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
I20220118001968 OK Practitioner - Nurse Practitioner 6103218482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Squareone Compassion IncGroup PAC ID 6507296845, 3 clinicians

Practice addresses (Care Compare)

5323 S 65TH W Ave
Tulsa, OK 74107-8213
Phone (918) 340-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103238OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Future Pediatrics CurrentSince Apr 11, 2021 Accepting new patients
Squareone Compassion Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

817 S Elm Pl
Ste 106
Broken Arrow, OK 74012
Phone (539) 444-8082

5323 S 65th West Ave
Tulsa, OK 74107
Phone (918) 340-5024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21321/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1285256883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374135",
            "telephone_number": "918-298-5437",
            "fax_number": "918-298-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374135",
            "telephone_number": "918-298-5437",
            "fax_number": "918-298-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CORTNEY",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "103238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTNEY",
            "last_name": "BOOMER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jenks, OK

Sources for this page

Verify at the official NPI Registry.