Individual provider Active NPI

Brianna Leigh Choyce, APRN-CNP

  • Family Nurse Practitioner
  • Ada, OK
National Provider Identifier
1700370467
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0077247 Issued in OK
Practice address
729 E Main St
Ada, OK 74820-5613
Phone
(580) 967-6700
NPI assigned
Jun 17, 2018
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 77472 OK
Family Nurse Practitioner 363LF0000X R0077247 OK Primary

Addresses

Primary practice location

729 E Main St
Ada, OK 74820-5613

Mailing address

729 E Main St
Ada, OK 74820-5613
Phone (580) 967-6700

Other practice location 1

2020 Arlington St Ste 6
Ada, OK 74820
Phone (580) 332-8608

Other practice location 2

2020 Arlington St Ste 6
Ada, OK 74820
Phone (580) 332-8608

Other identifiers 2

IdentifierTypeStateIssuer
1700370467OtherOKSTATE LICENSE
77472OtherOKSTATE LICENSE

Other names 1

  • Brianna Leigh Shipe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726000150 OK Practitioner - Nurse Practitioner 7618295130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

729 E Main St
Ada, OK 74820-5613
Phone (580) 967-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0077247OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Chiropractic CurrentSince Mar 12, 2024 Accepting new patients
Ada Men's Clinic LLC CurrentSince Jan 2, 2024 Accepting new patients
Total Health & Wellness, LLC CurrentSince Aug 15, 2024 Accepting new patients
American Cardiology LLC Past Accepting new patients

Locations

729 E Main St
Ada, OK 74820
Phone (580) 332-4447

502 E Cherokee Ave
Sallisaw, OK 74955
Phone (918) 775-7100

611 W Cherokee St
Wagoner, OK 74467
Phone (918) 201-4147

611 W Cherokee St
Ste D
Wagoner, OK 74467
Phone (918) 201-4147

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1700370467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205613",
            "telephone_number": "580-967-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205613",
            "telephone_number": "580-967-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Arlington St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "74820",
            "country_code": "US",
            "telephone_number": "580-332-8608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Arlington St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "74820",
            "country_code": "US",
            "telephone_number": "580-332-8608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOYCE",
        "first_name": "BRIANNA",
        "middle_name": "LEIGH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "77472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0077247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1700370467",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "77472",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "SHIPE",
            "middle_name": "LEIGH",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.