Malaya Reyna Deemer, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

124007 Issued in OK

Practice address

5602 SW Lee Blvd
Lawton, OK 73505-9699

Phone

(580) 531-4786

NPI assigned

Apr 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Malaya Reyna Peterson Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1811299944
  Medicare reassignment Care Compare group NPD
• Meridan Medical & Associates

  • Adult Medicine Physician
  • El Paso, TX
  • NPI 1720679129
  Medicare reassignment NPD
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1093512246
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1629531900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059699",
            "telephone_number": "580-531-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059699",
            "telephone_number": "580-531-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEMER",
        "first_name": "MALAYA",
        "middle_name": "REYNA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "124007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALAYA",
            "last_name": "PETERSON",
            "middle_name": "REYNA",
            "prefix": "MR.",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mason Andrew Dearing, DDS, MS
• Debra a Crawford, DO LLC
• Dexter De Guzman Decano, P.T.
• Lafayette Daniel Decausey Jr.
• Ashley Nicole Decollo
• Deep Sleep Remedies PLLC
• Tonya L Defoor, RNC IBCLC
• Alexander F Degazon, M.D.
• Keri Joy Degeorge
• Eugene Dela Cruz, P.T.

• Family Nurse Practitioner in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.