Guthrie Clinic, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0100325 Issued in OK

Legal business name

GUTHRIE CLINIC, INC.

Practice address

2000 E Broadway St
Spiro, OK 74959-3041

Phone

(918) 962-2439

Fax

(918) 967-8847

NPI assigned

Jul 11, 2007

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J Brett Guthrie, DC, APRN

Title

Physician

Phone

(918) 967-4697

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Brett Guthrie, D.C., APRN

  • Family Nurse Practitioner
  • Spiro, OK
  • NPI 1316946163
  Medicare reassignment
• Garrison Gray

  • Family Nurse Practitioner
  • Spiro, OK
  • NPI 1891524559
  NPD

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1649479627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E BROADWAY ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749593041",
            "telephone_number": "918-962-2439",
            "fax_number": "918-967-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E BROADWAY ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749593041",
            "telephone_number": "918-962-2439",
            "fax_number": "918-967-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-967-4697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, APRN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2510",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0100325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "400522271",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arveitta Yvonne Edge, M.D.
• Coty Fisher
• Keifer Layne Fisher, DDS
• Ft Smith Hma PBC Management, LLC (Spiro Family Medical)
• Garrison Gray
• James Brett Guthrie, D.C., APRN
• Colton Harper, PHARM.D.
• Chester L Herron
• Regan Lynn Huff
• Imaginus Diagnostic Laboratory LLC

• Family Nurse Practitioner in Spiro, OK
• Providers in Spiro, 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 Jan 14, 2014; 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.

Verify at the official NPI Registry.