Active NPI
Peggy Ruth Immohotichey, RN
- Ambulatory Care Registered Nurse
- El Reno, OK
National Provider Identifier
1326328667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- R51240
- Practice address
- 1631 E US Highway 66
El Reno, OK 73036-5769 - Phone
- (405) 262-7631
- Fax
- (405) 262-8099
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | R51240 | OK | Primary |
Addresses
Primary practice location
1631 E US Highway 66
El Reno, OK 73036-5769
Mailing address
1631A East Highway 66
El Reno, OK 73036-5769
Phone (405) 262-7631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R51240 | OK | MD | Ambulatory Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Reno Indian Health Center | Past | Accepting new patients | |
| Lawton Indian Hospital | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- El Reno, OK
- NPI 1386725604
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1326328667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631A EAST HIGHWAY 66",
"city": "EL RENO",
"state": "OK",
"postal_code": "730365769",
"telephone_number": "405-262-7631",
"fax_number": "405-262-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 E US HIGHWAY 66",
"city": "EL RENO",
"state": "OK",
"postal_code": "730365769",
"telephone_number": "405-262-7631",
"fax_number": "405-262-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMMOHOTICHEY",
"first_name": "PEGGY",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "OK",
"license": "R51240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.