Active NPI
Cheryl Celeste Florence, APRN
- Family Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1689912693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 91439
- Practice address
- 1717 S Utica Ave Ste a
Tulsa, OK 74104-5346 - Phone
- (918) 748-1300
- NPI assigned
- Jan 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 91439 | OK | Primary |
Addresses
Primary practice location
1717 S Utica Ave Ste a
Tulsa, OK 74104-5346
Mailing address
11315 S 109TH East Ave
Bixby, OK 74008-2865
Phone (918) 630-3145
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689912693 | Other | OK | BCBS OF OKLAHOMA |
| 200475520A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1689912693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11315 S 109TH EAST AVE",
"city": "BIXBY",
"state": "OK",
"postal_code": "740082865",
"telephone_number": "918-630-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S UTICA AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741045346",
"telephone_number": "918-748-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORENCE",
"first_name": "CHERYL",
"middle_name": "CELESTE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "91439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF OKLAHOMA",
"identifier": "1689912693",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200475520A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.