Individual provider Active NPI

Julie Patricia Fordon, APRN, CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1376288712
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206962 Issued in OK
Practice address
2903 W Britton Rd
Oklahoma City, OK 73120-4433
Phone
(405) 849-4650
NPI assigned
Apr 30, 2022
Last updated
Apr 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206962 OK Primary

Addresses

Primary practice location

2903 W Britton Rd
Oklahoma City, OK 73120-4433

Mailing address

1325 N Walker Ave Apt 321
Oklahoma City, OK 73103-6420
Phone (708) 837-9870

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220711000110 OK Practitioner - Nurse Practitioner 4385024199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare Center LLCGroup PAC ID 0840555777, 28 clinicians

Practice addresses (Care Compare)

21001 SE 29TH St
Harrah, OK 73045-6591
Phone (405) 391-5526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP CurrentSince Feb 1, 2025 Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP CurrentSince Feb 1, 2025 Accepting new patients
Icare Center LLC CurrentSince May 1, 2022 Accepting new patients
Icare Primary & Wellness Clinic LLC Past Accepting new patients

Locations

14321 NE 23rd St
Choctaw, OK 73020
Phone (405) 342-0255

404 W Main St
Davis, OK 73030
Phone (405) 391-5526

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1376288712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N WALKER AVE APT 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731036420",
            "telephone_number": "708-837-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 W BRITTON RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204433",
            "telephone_number": "405-849-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDON",
        "first_name": "JULIE",
        "middle_name": "PATRICIA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.