Individual provider Active NPI

Alejandra Gabriela Duncan, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1295478360
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204977 Issued in OK
Practice address
11560 N 135TH East Ave Ste 101
Owasso, OK 74055-5755
Phone
(918) 533-1188
NPI assigned
Apr 18, 2022
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 204977 OK Primary

Addresses

Primary practice location

11560 N 135TH East Ave Ste 101
Owasso, OK 74055-5755

Mailing address

11560 N 135TH East Ave Ste 101
Owasso, OK 74055-5755
Phone (918) 553-1188

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
I20220916000650 OK Practitioner - Nurse Practitioner 7719362425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kavanah Medical LLCGroup PAC ID 9032544226, 7 clinicians

Practice addresses (Care Compare)

11560 N 135TH E Ave
101 RX Health and Wellness
Owasso, OK 74055-9044
Phone (918) 553-1188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204977OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kavanah Medical LLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

1073 NE Washington Blvd
RX Health and Wellness
Bartlesville, OK 74006

1073 NE Washington Blvd
RX Health and Wellness
Bartlesville, OK 74006
Phone (918) 876-6000

601 SW Jennings Ave
Bartlesville, OK 74003
Phone (918) 553-1188

1755 N Highway 66
Ste G
Catoosa, OK 74015
Phone (918) 260-7631

11560 N 135th East Ave
Ste 101
Owasso, OK 74055
Phone (918) 533-1188

Interoperability endpoints

  • Direct secure messaging: alejandra.paredes.mares.1@20421.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20421/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1295478360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 N 135TH EAST AVE STE 101",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555755",
            "telephone_number": "918-553-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 N 135TH EAST AVE STE 101",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555755",
            "telephone_number": "918-533-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ALEJANDRA",
        "middle_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "204977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.