Idabel Family Practice, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

IDABEL FAMILY PRACTICE, LLC

Practice address

1401 S Lynn LN
Idabel, OK 74745-6859

Phone

(580) 245-7024

Fax

(855) 576-4102

NPI assigned

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Heather Nacole England, FNPNPI 1396107306

Title

Nurse Practitioner/Owner

Phone

(580) 612-7748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather N England, APRN

  • Family Nurse Practitioner
  • Idabel, OK
  • NPI 1396107306

  OK

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1487480869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456859",
            "telephone_number": "580-245-7024",
            "fax_number": "855-576-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456859",
            "telephone_number": "580-245-7024",
            "fax_number": "855-576-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDABEL FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NACOLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "580-612-7748",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Idabel Express Pharmacy, LLC
• Idabel Health & Rehabilitation Center, LLC
• Idabel Public Schools
• Idabel PV LLC
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• Mary Jacque Ishcomer

• All providers in Idabel, OK
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.