Active NPI
Modern Concierge Medicine
- Family Medicine Physician
- Edmond, OK
National Provider Identifier
1316714603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caitlin Aday, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Edmond, OK
- NPI 1811424732
-
- Medical Physician Assistant
- Edmond, OK
- NPI 1205803863
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.