Individual provider Active NPI

Thomas Ryan Manuguerra, APRN-CNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1457136848
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
223577 Issued in OK
Practice address
1200 Everett Dr # 8Np8305
Oklahoma City, OK 73104-5047
Phone
(405) 271-5211
Fax
(405) 271-2945
NPI assigned
Aug 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 223577 OK Primary
Critical Care Pediatric Nurse Practitioner 363LP0222X APRN.CNP.0034766 OH

Addresses

Primary practice location

1200 Everett Dr # 8Np8305
Oklahoma City, OK 73104-5047

Mailing address

2452 Glen Valley Dr
Westlake, OH 44145-4703
Phone (419) 239-7585

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231023002718 OH Practitioner - Nurse Practitioner 2668828971 Reassigns benefits to 1 organization
I20251007004383 OK Practitioner - Nurse Practitioner 2668828971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1122 NE 13TH St
Oklahoma City, OK 73117-1039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223577OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Sep 13, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 25, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 25, 2025 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1200 Everett Dr
#8
Oklahoma City, OK 73104
Phone (405) 271-5211

Organizations & group practices 3

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1457136848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 GLEN VALLEY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454703",
            "telephone_number": "419-239-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EVERETT DR # 8NP8305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045047",
            "telephone_number": "405-271-5211",
            "fax_number": "405-271-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUGUERRA",
        "first_name": "THOMAS",
        "middle_name": "RYAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "223577",
            "primary": true
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "OH",
            "license": "APRN.CNP.0034766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.