Individual provider Active NPI

Emily Ault, APRN

  • Primary Care Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1477957355
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
77041 Issued in OK
Practice address
2401 N Commerce St Ste a
Ardmore, OK 73401-1311
Phone
(580) 798-4122
Fax
(580) 319-7812
NPI assigned
Oct 21, 2014
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 0077041 OK
Primary Care Nurse Practitioner 363LP2300X 77041 OK Primary

Addresses

Primary practice location

2401 N Commerce St Ste a
Ardmore, OK 73401-1311

Mailing address

PO Box 287
Caddo, OK 74729-0287
Phone (580) 775-1820

Other names 1

  • Emily Dunlap Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20150518000163 TX Practitioner - Nurse Practitioner 0446570360 Reassigns benefits to 1 organization
I20150622000085 OK Practitioner - Nurse Practitioner 0446570360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 W Lamberth Rd
Suite E
Sherman, TX 75092-2657
Phone (903) 413-8661

1708 Delivery LN
Durant, OK 74701-2292
Phone (903) 413-8661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0077041OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Family Healthcare LLC CurrentSince Apr 1, 2025 Accepting new patients
Home Reach Mobile Wound Care Clinic, PLLC CurrentSince Dec 7, 2024 Accepting new patients
Virtual Medical Solutions, LLC CurrentSince Sep 24, 2023 Accepting new patients
Access Health Family and Urgent Care, LLC PastSince Nov 9, 2025 Accepting new patients

Locations

1420 12th Ave NW
Ardmore, OK 73401
Phone (580) 798-4122

2401 N Commerce St
Ste A
Ardmore, OK 73401
Phone (580) 798-4122

1708 Delivery Ln
Durant, OK 74701
Phone (580) 924-5622

115 W Lamberth Rd
Ste E
Sherman, TX 75092
Phone (903) 271-4261

Organizations & group practices 4

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1477957355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "CADDO",
            "state": "OK",
            "postal_code": "747290287",
            "telephone_number": "580-775-1820",
            "fax_number": "903-213-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N COMMERCE ST STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011311",
            "telephone_number": "580-798-4122",
            "fax_number": "580-319-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULT",
        "first_name": "EMILY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "0077041",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "77041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "DUNLAP",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.