Kara Nicole De la Pena, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

108196 Issued in OK

Practice address

800 W 18TH St Ste 140
Edmond, OK 73013-3759

Phone

(405) 696-7003

Fax

(541) 325-4041

NPI assigned

Jun 12, 2019

Last updated

Nov 17, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 8, 2021 through Dec 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Np2Go

  • Clinic/Center
  • Edmond, OK
  • NPI 1700543402
  NPD Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1366001315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N MIDWEST BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348412",
            "telephone_number": "405-514-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 18TH ST STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133759",
            "telephone_number": "405-696-7003",
            "fax_number": "541-325-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "KARA",
        "middle_name": "NICOLE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "108197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "108196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Dawson
• Dax Laboratories, LLC (Dax Laboratories)
• Anna Day
• Leigha Day, OTA
• Flavio De Andrade Vital
• Lindsey M Deal, MSW
• Dean McGee Eye Institute
• Carlton Dean
• Colby Lynn Dean
• David D Dean

• Family Nurse Practitioner in Edmond, OK
• Providers in Edmond, 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 Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.