Active NPI
Sam Hider Community Clinic
- Family Nurse Practitioner
- Jay, OK
National Provider Identifier
1659597706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0068852
- Legal business name
- SAM HIDER COMMUNITY CLINIC
- Practice address
- 1015 Washburn
Jay, OK 74346 - Phone
- (918) 253-4271
- NPI assigned
- Apr 17, 2007
- 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
- Patricia A Postier, ARNP
- Title
- Family Nurse Practitioner
- Phone
- (918) 253-4271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0068852 | OK | Primary |
Addresses
Primary practice location
1015 Washburn
Jay, OK 74346
Mailing address
33396 S 550 Rd
Jay, OK 74346-5478
Phone (918) 787-6593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8EC410 | Other | OK | PROVIDER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659597706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33396 S 550 RD",
"city": "JAY",
"state": "OK",
"postal_code": "743465478",
"telephone_number": "918-787-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 WASHBURN",
"city": "JAY",
"state": "OK",
"postal_code": "74346",
"telephone_number": "918-253-4271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM HIDER COMMUNITY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POSTIER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "918-253-4271",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0068852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "8EC410",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jay, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.