Mirabel Forteh, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

100187 Issued in OK

Practice address

1301 W 6TH Ave Ste 207
Stillwater, OK 74074-4381

Phone

(405) 533-3010

NPI assigned

Nov 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mirabel.forteh.p1@direct.smc.nextgenshare.com

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.

• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1558377135
  Medicare reassignment NPD
• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Perry, OK
  • NPI 1407729361
  NPD
• Blackwell Hospital Trust Authority

  • Internal Medicine Physician
  • Blackwell, OK
  • NPI 1821525304

  Nurse Practitioner

  NPD (past)
• Stillwater Medical Center Physicians

  • Anesthesiology Physician
  • Stillwater, OK
  • NPI 1295859387
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1679015416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N SKYLINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740753102",
            "telephone_number": "405-533-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 6TH AVE STE 207",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744381",
            "telephone_number": "405-533-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTEH",
        "first_name": "MIRABEL",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "100187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Michelle Foley
• Foot and Ankle Clinic of Stillwater LTD
• Foot Traffic, LLC
• Nichole Diane Forbes, MA, LPC-C
• Amanda Mae Ford, LPN
• Megan Ashley Fortner
• Akyallah Foster
• Karen Denice Fowler, LPC, NCC
• Glynda Fox, APRN, FNP-C
• Reese Fox, PT, DPT

• Nurse Practitioner in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.