Active NPI
Idabel Family Practice, LLC
- Primary Care Nurse Practitioner
- Idabel, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
- Last updated
- Jan 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Nacole England, FNP
- Title
- Nurse Practitioner/Owner
- Phone
- (580) 612-7748
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1401 S Lynn LN
Idabel, OK 74745-6859
Mailing address
1401 S Lynn LN
Idabel, OK 74745-6859
Phone (580) 245-7024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2260135 | Idabel Family Practice | Certificate of waiver | May 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
1401 S Lynn Ln
Idabel, OK 74745
Phone (580) 245-7024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Idabel, OK
- NPI 1396107306
NPI Registry JSON
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": []
}
Other providers in Idabel, OK
- Hospice Center of Southeastern Oklahoma, Inc
- April L Hurst, PT
- Idabel Children's Clinic, Inc.
- Idabel Chiropractic Clinic PLLC
- Idabel Express Pharmacy, LLC (Idabel Express Pharmacy)
- Idabel Health & Rehabilitation Center, LLC (Oak Grove Manor)
- Idabel Public Schools
- Idabel PV LLC (The Eye guys)
- Idabel Teg LLC (The Eye Guys)
- Mary Jacque Ishcomer
Sources for this page
- 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.