Vip Primary Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VIP PRIMARY CARE LLC

Practice address

3816 W Van Buren St
Broken Arrow, OK 74011-1912

Phone

(918) 704-1240

NPI assigned

Aug 5, 2026

Organization subpart

No

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

Authorized official

Name

Madison Hibbard

Title

Ceo

Phone

(918) 704-1240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1700700416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 W VAN BUREN ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111912",
            "telephone_number": "918-704-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 W VAN BUREN ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111912",
            "telephone_number": "918-704-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "HIBBARD",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-704-1240"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan M Villaran Muniz
• Robert Villareal, M.D.
• Paola Villasenor
• Destani Brienne Vinson
• Vip Endoscopy Inc
• Quyen Vo
• Sarah Bell Von Muller, MD
• Ashley Voss
• Logan Vowels
• Chandra Vue, PHARMD

• Family Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.