Active NPI
Danielle Wheat, PA-C
- Physician Assistant
- Ardmore, OK
National Provider Identifier
1427594274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2728
- Practice address
- 908 N Rockford Rd Ste G
Ardmore, OK 73401-2541 - Phone
- (580) 490-9411
- NPI assigned
- Jan 17, 2017
- Last updated
- May 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2728 | OK | Primary |
Addresses
Primary practice location
908 N Rockford Rd Ste G
Ardmore, OK 73401-2541
Mailing address
908 N Rockford Rd
Ste G
Ardmore, OK 73401-2541
Phone (580) 490-9411
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2728 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1427594274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N ROCKFORD RD",
"address_2": "STE G",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012541",
"telephone_number": "580-490-9411",
"fax_number": "580-490-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N ROCKFORD RD STE G",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012541",
"telephone_number": "580-490-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEAT",
"first_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.