Active NPI
People First Health Care Inc. Dba Reach Out Street Medicine Clinic
- Family Nurse Practitioner
- Edmond, OK
National Provider Identifier
1669236162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PEOPLE FIRST HEALTH CARE INC. DBA REACH OUT STREET MEDICINE CLINIC
- Practice address
- 1800 Canyon Park Cir Ste 401
Edmond, OK 73013-6631 - Phone
- (405) 266-1262
- NPI assigned
- Feb 6, 2024
- 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
- Dr. Debra McCullock, APRN
- Title
- Founder, Executive Director
- Phone
- (405) 266-1262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1800 Canyon Park Cir Ste 401
Edmond, OK 73013-6631
Mailing address
1800 Canyon Park Cir Ste 401
Edmond, OK 73013-6631
Phone (405) 266-1262
Other names 1
- Reach Out Street Medicine Clinic
National Provider Directory
National Provider DirectoryLocations
1800 Canyon Park Cir
Ste 401
Edmond, OK 73013
Phone (405) 266-1262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1801967260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1669236162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CANYON PARK CIR STE 401",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136631",
"telephone_number": "405-266-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CANYON PARK CIR STE 401",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136631",
"telephone_number": "405-266-1262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEOPLE FIRST HEALTH CARE INC. DBA REACH OUT STREET MEDICINE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "MCCULLOCK",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "FOUNDER, EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "405-266-1262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reach Out Street Medicine Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.