Organization Active NPI

Ragina Holiman Aprn PC

  • Psychiatric/Mental Health Registered Nurse
  • Oklahoma City, OK
National Provider Identifier
1508063454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R0046683 Issued in OK
Legal business name
RAGINA HOLIMAN APRN PC
Practice address
3037 NW 63Rd St
Suite 104
Oklahoma City, OK 73116-3637
Phone
(405) 286-4350
Fax
(405) 286-4361
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ragina Lynn Holiman, CNS
Title
Owner
Phone
(405) 286-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X R0046683 OK Primary

Addresses

Primary practice location

3037 NW 63Rd St
Suite 104
Oklahoma City, OK 73116-3637

Mailing address

3037 NW 63Rd St
Suite 104
Oklahoma City, OK 73116-3637
Phone (405) 286-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000553 OK Part B Supplier - Clinic/Group Practice 9739272774 Receives reassigned benefits from 1 practitioner
Practice locations: Bethany, OK; Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

7530 NW 23rd St
Ste B
Bethany, OK 73008
Phone (405) 495-6340

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508063454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 NW 63RD ST",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163637",
            "telephone_number": "405-286-4350",
            "fax_number": "405-286-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 NW 63RD ST",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163637",
            "telephone_number": "405-286-4350",
            "fax_number": "405-286-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGINA HOLIMAN APRN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLIMAN",
        "authorized_official_first_name": "RAGINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-286-4350",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0046683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.