Active NPI
Nicole Ida Harris, APRN, CNP
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105925
- Practice address
- 15103 N Macarthur Blvd
Oklahoma City, OK 73132 - Phone
- (866) 389-2727
- NPI assigned
- Feb 27, 2018
- 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 | 105925 | OK | Primary |
Addresses
Primary practice location
15103 N Macarthur Blvd
Oklahoma City, OK 73132
Mailing address
15103 N Macarthur Blvd
Oklahoma City, OK 73132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105925 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NR Midwest City LLC | Current | Accepting new patients | |
| Venvisor Health of NC | Current | Accepting new patients | |
| The Physicians Group LLC | Current | Accepting new patients | |
| Best Physicians at Home, Inc | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368
3908 N Peniel Ave
Ste 450
Bethany, OK 73008
1920 E 1st St
Ste F
Chandler, OK 74834
Phone (405) 255-2155
8121 National Ave
Ste 105
Midwest City, OK 73110
Phone (405) 694-4042
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
Interoperability endpoints
- https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- General Practice Physician
- Chandler, OK
- NPI 1447659768
-
- Physical Medicine & Rehabilitation Physician
- Midwest City, OK
- NPI 1558063784
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1699276402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15103 N MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15103 N MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73132",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "NICOLE",
"middle_name": "IDA",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2022-12-20",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "105925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.