Individual provider Active NPI

Michie Y Okura, PA-C

  • Physician Assistant
  • Abilene, TX
National Provider Identifier
1366118978
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
697 Louisiana Drive
Dyess AFB
Abilene, TX 79607-1367
Phone
(808) 492-7251
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

697 Louisiana Drive
Dyess AFB
Abilene, TX 79607-1367

Mailing address

697 Louisiana Drive
Dyess Air Force Base
Abilene, TX 79607-1367
Phone (808) 492-7251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1366118978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA DRIVE",
            "address_2": "DYESS AIR FORCE BASE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796071367",
            "telephone_number": "808-492-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA DRIVE",
            "address_2": "DYESS AFB",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796071367",
            "telephone_number": "808-492-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKURA",
        "first_name": "MICHIE",
        "middle_name": "Y",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.