Active NPI
Jennifer Enteshary, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 92730
- Practice address
- 9600 Broadway Ext
Oklahoma City, OK 73114-7408 - Phone
- (405) 715-3610
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 92730 | OK | Primary |
Addresses
Primary practice location
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Mailing address
3650 W Rock Creek Rd Ste 100
Norman, OK 73072-2202
Phone (405) 701-3418
Other practice location 1
3650 W Rock Creek Rd Ste 100
Norman, OK 73072-2202
Phone (405) 701-3418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000
3400 W Tecumseh Rd
Suite 301
Norman, OK 73072-1812
Phone (405) 801-4200
901 N Porter Ave
Norman, OK 73071-6404
Phone (405) 307-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92730 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Anesthesia Providers, P.C. | Current | Accepting new patients |
Locations
3121 S Telephone Rd
Moore, OK 73160
Phone (405) 321-0370
3650 W Rock Creek Rd
#100
Norman, OK 73072
Phone (405) 701-3418
3400 W Tecumseh Rd
Ste 301
Norman, OK 73072
Phone (405) 364-6764
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Norman, OK
- NPI 1881652667
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1629478151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 W ROCK CREEK RD STE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722202",
"telephone_number": "405-701-3418",
"fax_number": "405-701-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-715-3610"
}
],
"practiceLocations": [
{
"address_1": "3650 W Rock Creek Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Norman",
"state": "OK",
"postal_code": "730722202",
"country_code": "US",
"telephone_number": "405-701-3418",
"fax_number": "405-701-3451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENTESHARY",
"first_name": "JENNIFER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "92730",
"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 Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.