Active NPI
Draelos Metabolic Center
- Family Nurse Practitioner
- Edmond, OK
National Provider Identifier
1508210816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- DRAELOS METABOLIC CENTER
- Practice address
- 200 N Bryant Ave Ste 100
Edmond, OK 73034-6273 - Phone
- (405) 330-2362
- NPI assigned
- Apr 22, 2016
- 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
- Brooke Ashley Henderson, APRN-CNP
- Title
- Aprn-CNP
- Phone
- (405) 240-0709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
200 N Bryant Ave Ste 100
Edmond, OK 73034-6273
Mailing address
200 N Bryant Ave Ste 100
Edmond, OK 73034-6273
Phone (405) 330-2362
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1508210816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N BRYANT AVE STE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346273",
"telephone_number": "405-330-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BRYANT AVE STE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346273",
"telephone_number": "405-330-2362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAELOS METABOLIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-22",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "BROOKE",
"authorized_official_middle_name": "ASHLEY",
"authorized_official_title_or_position": "APRN-CNP",
"authorized_official_telephone_number": "405-240-0709",
"authorized_official_credential": "APRN-CNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.