Emily Ault, APRN

Key facts

NPI

1477957355

Entity type

Individual (NPI type 1)

Primary specialty

Primary Care Nurse Practitioner 363LP2300X

License

77041 (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

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Home Reach Mobile Wound Care Clinic, PLLC Family Medicine Physician · Sherman, TX · NPI 1629807375
  Medicare reassignment NPD Authorized official OK · TX
• Virtual Medical Solutions, LLC Medical Specialty Clinic/Center · Ardmore, OK · NPI 1801538467
  Medicare reassignment NPD OK
• My Family Healthcare LLC Family Medicine Physician · Durant, OK · NPI 1013380385
  NPD
• Access Health Family and Urgent Care, LLC Primary Care Clinic/Center · Ardmore, OK · NPI 1275403958
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TX, OK

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Emily Dunlap Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2024.

{
    "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"
        }
    ]
}

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