Active NPI
Palliative Care Procedures
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Moore, OK
National Provider Identifier
1508443300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- PALLIATIVE CARE PROCEDURES
- Practice address
- 1604 SW 38TH St
Moore, OK 73160-2953 - Phone
- (405) 659-5525
- Fax
- (800) 396-6706
- NPI assigned
- Mar 26, 2021
- 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
- Audrianna Sparks, APRN
- Title
- Owner/Provider
- Phone
- (405) 659-5525
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1604 SW 38TH St
Moore, OK 73160-2953
Mailing address
1604 SW 38TH St
Moore, OK 73160-2953
Phone (405) 659-5525
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1508443300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 SW 38TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731602953",
"telephone_number": "405-659-5525",
"fax_number": "800-396-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 SW 38TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731602953",
"telephone_number": "405-659-5525",
"fax_number": "800-396-6706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALLIATIVE CARE PROCEDURES",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-26",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "SPARKS",
"authorized_official_first_name": "AUDRIANNA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "405-659-5525",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.