Organization Active NPI

Onesource Practitioners, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1609331891
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONESOURCE PRACTITIONERS, LLC
Practice address
609 W Memorial Rd
Oklahoma City, OK 73114-2006
Phone
(405) 418-5400
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Kimberly Bryan
Title
Owner / Nurse Practitioner
Phone
(405) 919-7345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

609 W Memorial Rd
Oklahoma City, OK 73114-2006

Mailing address

510 E Memorial Rd Ste D4
Oklahoma City, OK 73114-2218
Phone (405) 227-9440

National Provider Directory

National Provider Directory

Locations

510 E Memorial Rd
Ste D4
Oklahoma City, OK 73114

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1609331891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MEMORIAL RD STE D4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142218",
            "telephone_number": "405-227-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142006",
            "telephone_number": "405-418-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESOURCE PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER / NURSE PRACTITIONER",
        "authorized_official_telephone_number": "405-919-7345"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.