Healthcare Stat of Newcastle LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

68442 Issued in OK

Legal business name

HEALTHCARE STAT OF NEWCASTLE LLC

Practice address

2120 N Main St Suite B
Newcastle, OK 73065

Phone

(405) 792-0200

Fax

(405) 701-5421

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Shawn P Bonilla, APRNNPI 1134213978

Title

Owner

Phone

(405) 792-0200

Specialties & licenses 1

Addresses

Other names 1

• HEALTHCARE STAT OF NEWCASTLE Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Patrick Bonilla, N.P.

  • Acute Care Nurse Practitioner
  • Blanchard, OK
  • NPI 1134213978
  Medicare reassignment Care Compare group NPD Authorized official
• Carey Bartnicki, APRN

  • Family Nurse Practitioner
  • Newcastle, OK
  • NPI 1467868349
  Medicare reassignment Care Compare group NPD
• Dina Biliske

  • Family Nurse Practitioner
  • Norman, OK
  • NPI 1417509951
  Medicare reassignment NPD
• Kimberly Anne Calhoun, APRN-CNP, MSN

  • Family Nurse Practitioner
  • Moore, OK
  • NPI 1275019598
  Medicare reassignment NPD
• Martin Edward Christensen, APRN CNP

  • Family Nurse Practitioner
  • Blanchard, OK
  • NPI 1093174708
  Medicare reassignment NPD
• Linzi Ruth Mackey, CNP

  • Nurse Practitioner
  • Tuttle, OK
  • NPI 1720820442
  Medicare reassignment NPD

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1346796604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5908",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730705908",
            "telephone_number": "405-659-5656",
            "fax_number": "405-701-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAIN ST SUITE B",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "73065",
            "telephone_number": "405-792-0200",
            "fax_number": "405-701-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE STAT OF NEWCASTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-792-0200",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "68442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHCARE STAT OF NEWCASTLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Green, PT
• Philip Wayne Grider
• Jennifer Joy Griffin, D.D.S.
• Ashley Nicole Gutierrez, PT, DPT
• Eric D Hanson, DDS
• Judy L Hensley, B.A.
• Jordan Hites
• Candace J Hladik, PTA
• Kameron Kimberly Ann Homier, LCSW
• Cortney Suzanne Hoyt, MS PT

• Family Nurse Practitioner in Newcastle, OK
• Providers in Newcastle, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.