Individual provider Active NPI

Samina Zafar

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1659853851
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
88181 Issued in OK
Practice address
12212 Swanhaven Dr
Oklahoma City, OK 73170-4748
Phone
(405) 821-7422
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 88181 OK Primary
Emergency Registered Nurse 163WE0003X 88181 OK

Addresses

Primary practice location

12212 Swanhaven Dr
Oklahoma City, OK 73170-4748

Mailing address

12212 Swanhaven Dr
Oklahoma City, OK 73170-4748
Phone (405) 821-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181107000267 OK Practitioner - Nurse Practitioner 3274887401 Reassigns benefits to 3 organizations
I20211222000717 TX Practitioner - Nurse Practitioner 3274887401 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
88181OKMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Center LLC CurrentSince Jul 1, 2020 Accepting new patients
Anadarko Indian Health Center CurrentSince Nov 16, 2021 Accepting new patients
Hamid Mahmood MD PC CurrentSince Nov 1, 2018 Accepting new patients
Lawton Indian Hospital CurrentSince Nov 16, 2021 Accepting new patients
Carnegie Indian Health Center CurrentSince Nov 16, 2021 Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1104 E State Highway 152
Mustang, OK 73064
Phone (405) 376-9544

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1659853851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 SWANHAVEN DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704748",
            "telephone_number": "405-821-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 SWANHAVEN DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704748",
            "telephone_number": "405-821-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFAR",
        "first_name": "SAMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "88181",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "88181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.