Affirm Management and Consulting, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AFFIRM MANAGEMENT AND CONSULTING, LLC

Doing business as

Affirm Health Center

Practice address

4728 S Campbell Ave Ste 128
Springfield, MO 65810-1715

Phone

(417) 823-3901

Fax

(417) 823-3781

NPI assigned

Aug 13, 2019

Last updated

Aug 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tracie LR Ojakangas, NP-C

Title

Director

Phone

(417) 823-3901

Specialties & licenses 2

Addresses

Other names 1

• Affirm Health Center Doing business as

Locations

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1326694605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 S CAMPBELL AVE STE 128",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101715",
            "telephone_number": "417-823-3901",
            "fax_number": "417-823-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 S CAMPBELL AVE STE 128",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101715",
            "telephone_number": "417-823-3901",
            "fax_number": "417-823-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRM MANAGEMENT AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "OJAKANGAS",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "LR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-823-3901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affirm Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affirm Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.