Individual provider Active NPI

Gladys Onchwati

  • Nurse Practitioner
  • Cherokee, OK
National Provider Identifier
1669719035
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
M131619 Issued in OK
Practice address
405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone
(580) 596-2800
Fax
(580) 596-2805
NPI assigned
Jan 5, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront-Rush Medical Service PA 15 clinicians
Great Salt Plains Health Center Inc 23 clinicians

Practice addresses (Care Compare)

15205 Traditions Lake Pkwy
Edmond, OK 73013-1198
Phone (972) 449-0540

1717 Main St
Suite 5850
Dallas, TX 75201-7317
Phone (972) 440-9540

231 S 30TH St
Enid, OK 73701-6455
Phone (580) 596-2800

405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, WA3 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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180116001980 TX Practitioner - Nurse Practitioner 3375802580 Reassigns benefits to 2 organizations
I20190213003186 OK Practitioner - Nurse Practitioner 3375802580 Reassigns benefits to 3 organizations
I20230714002024 WA Practitioner - Nurse Practitioner 3375802580 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220188TXMDLicensed Vocational Nurse
AP135264TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince May 21, 2018 Accepting new patients
Access Telecare, PLLC Nurse Practitioner CurrentSince Mar 7, 2025 Accepting new patients
Great Salt Plains Health Center, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Great Salt Plains Health Center, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince Mar 5, 2019 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jul 3, 2023 Accepting new patients

Locations

310 E Walnut
Canton, OK 73724
Phone (580) 886-2200

405 S Oklahoma Ave
Cherokee, OK 73728
Phone 87724284756012

15205 Traditions Lake Pkwy
Edmond, OK 73013
Phone (339) 499-9518

231 S 30th St
Enid, OK 73701
Phone (580) 233-2900

1300 North Dr
Hartshorne, OK 74547
Phone (918) 297-7000

619 N Front St
Medford, OK 73759
Phone (580) 395-3200

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 220188 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135264 TX
Nurse Practitioner 363L00000X M131619 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

405 S Oklahoma Ave
Cherokee, OK 73728-2545

Mailing address

405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (682) 203-6848

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2025.

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1669719035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S OKLAHOMA AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282545",
            "telephone_number": "682-203-6848",
            "fax_number": "580-596-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S OKLAHOMA AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282545",
            "telephone_number": "580-596-2800",
            "fax_number": "580-596-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONCHWATI",
        "first_name": "GLADYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-05",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "220188",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135264",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "M131619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, OK

Sources for this page

Verify at the official NPI Registry.