Organization Active NPI

Modern Concierge Medicine

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1316714603
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MODERN CONCIERGE MEDICINE
Practice address
3540 S Boulevard Ste 175
Edmond, OK 73013-5868
Phone
(405) 938-9444
Fax
(405) 259-1023
NPI assigned
Dec 6, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Caitlin Aday, NPNPI 1811424732
Title
Family Nurse Practitioner/Owner
Phone
(405) 938-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3540 S Boulevard Ste 175
Edmond, OK 73013-5868

Mailing address

3540 S Boulevard Ste 175
Edmond, OK 73013-5868
Phone (405) 938-9444

National Provider Directory

National Provider Directory

Locations

3540 S Boulevard
Ste 175
Edmond, OK 73013
Phone (405) 245-9789

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1316714603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S BOULEVARD STE 175",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135868",
            "telephone_number": "405-938-9444",
            "fax_number": "405-259-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S BOULEVARD STE 175",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135868",
            "telephone_number": "405-938-9444",
            "fax_number": "405-259-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CONCIERGE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ADAY",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "405-938-9444",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.