Individual provider Active NPI

Martha B. Cordova, APRN, NP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1396725289
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0063105 Issued in OK
Practice address
6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118-7532
Phone
(405) 272-5555
Fax
(405) 272-5517
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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 R0063105 OK Primary

Addresses

Primary practice location

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118-7532

Mailing address

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118-7532
Phone (405) 272-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0063105OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Crowson MD Inc Past Accepting new patients
Martha B. Cordova RN Arnp PLC Family PastSince Jan 27, 2005 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1396725289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "STE 2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187532",
            "telephone_number": "405-272-5555",
            "fax_number": "405-272-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "STE 2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187532",
            "telephone_number": "405-272-5555",
            "fax_number": "405-272-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MARTHA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0063105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.