Individual provider Active NPI

Delana Marie Kaviani-Far, CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1518694017
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200171 Issued in OK
Practice address
36 W Memorial Rd Ste C3
Oklahoma City, OK 73114-2312
Phone
(405) 755-3110
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200171 OK Primary

Addresses

Primary practice location

36 W Memorial Rd Ste C3
Oklahoma City, OK 73114-2312

Mailing address

2329 NW 161St Ter
Edmond, OK 73013-1297
Phone (405) 308-0588

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Unknown

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916001777 OK Practitioner - Nurse Practitioner 6709261431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians

Practice addresses (Care Compare)

1121 NW 63Rd St
Suite 5001
Nichols Hills, OK 73116-6504
Phone (405) 652-0632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200171OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Aug 29, 2022 Accepting new patients
American Current Care, PA CurrentSince Aug 29, 2022 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Dec 9, 2024 Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632

36 W Memorial Rd
Ste C3
Oklahoma City, OK 73114
Phone (405) 755-3110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1518694017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 NW 161ST TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131297",
            "telephone_number": "405-308-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W MEMORIAL RD STE C3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142312",
            "telephone_number": "405-755-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVIANI-FAR",
        "first_name": "DELANA",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "address_1": "36 W Memorial Rd Ste C3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731142312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.