Karis Ashley Rodriguez, APRN CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

106928 Issued in OK

Practice address

100 McDougal Dr
Holdenville, OK 74848-2899

Phone

(405) 379-4200

Fax

(405) 379-4252

NPI assigned

Mar 31, 2016

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holdenville Hospital AuthorityGroup PAC ID 6002031424, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holdenville General Hospital Hospital, Holdenville, OK, CCN 371321

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krodriguez@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holdenville Hospital Authority

  dba Holdenville General Hospital

  • Critical Access Hospital
  • Holdenville, OK
  • NPI 1265851455
  Medicare reassignment Care Compare group NPD
• Holdenville Hospital Authority

  dba Holdenville General Hospital Wewoka Health Clinic

  • Rural Health Clinic/Center
  • Wewoka, OK
  • NPI 1285038596
  NPD
• Holdenville Hospital Authority

  dba Holdenville General Hospital Physicians Health Clinic

  • Rural Health Clinic/Center
  • Holdenville, OK
  • NPI 1902265309
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holdenville Hospital Authority

  dba Holdenville General Hospital

  • Critical Access Hospital
  • Holdenville, OK
  • NPI 1265851455
  Care Compare affiliation

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1356704928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCDOUGAL DR",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748482899",
            "telephone_number": "405-379-4200",
            "fax_number": "405-379-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCDOUGAL DR",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748482899",
            "telephone_number": "405-379-4200",
            "fax_number": "405-379-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 S Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731306221",
            "country_code": "US",
            "telephone_number": "405-302-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KARIS",
        "middle_name": "ASHLEY",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "106928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Edwardovna Payne, MD
• Phil Tyree DDS PC
• Maddison Presley
• Pruett's Food, Inc. (Pruett's Food-Pharmacy#9)
• Jimmie Ray Rodgers
• Mark Jeremy Rosengren, D.O.
• Rural Area Counseling Center
• Jennifer Russell
• Sanderling Renal Services of Holdenville (Sanderling Dialysis Center of Holdenville)
• Fred Steven Sanders, DO

• Family Nurse Practitioner in Holdenville, OK
• Providers in Holdenville, 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 Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.