Active NPI
Cherokee Wound Care
- Nurse Practitioner
- Tahlequah, OK
National Provider Identifier
1609670199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- CHEROKEE WOUND CARE
- Practice address
- 9198 Highway 82a
Tahlequah, OK 74464-8613 - Phone
- (918) 457-8638
- NPI assigned
- Apr 3, 2025
- 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
- Jay Vazquez, APRN
- Title
- Ceo
- Phone
- (918) 457-8638
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
9198 Highway 82a
Tahlequah, OK 74464-8613
Mailing address
9198 Highway 82a
Tahlequah, OK 74464-8613
Phone (918) 457-8638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1942797238
-
- Acute Care Nurse Practitioner
- Tulsa, OK
- NPI 1487035770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743638400000",
"number": "1609670199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9198 HIGHWAY 82A",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744648613",
"telephone_number": "918-457-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9198 HIGHWAY 82A",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744648613",
"telephone_number": "918-457-8638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEROKEE WOUND CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "VAZQUEZ",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-457-8638",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
- Cherokee Nation Comprehensive Care Agency
- Cherokee Nation Home Health Outreach
- Cherokee Nation Home Health Services, Inc.
- Cherokee Nation Home Health Services, Inc.
- Cherokee Nation Outpatient Health Center Pharmacy
- Megan Lilly CHI
- Elizabeth Childers, BSN, RN
- Tracey Way Childers, D.O.
- Alyssa Childs
- Brittany Rashel Childs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.