NPIMap

Organization Active NPI

Acadia Family Medical Clinic L.L.C.

Doing business as Acadia Family Medical Clinic

  • Primary Care Clinic/Center
  • Pawhuska, OK
National Provider Identifier
1710311154
Registry record updated May 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3512416926 Issued in OK
Legal business name
ACADIA FAMILY MEDICAL CLINIC L.L.C.
Doing business as
Acadia Family Medical Clinic
Practice address
230 E 5TH St
Pawhuska, OK 74056-5204
Phone
(918) 287-9112
Fax
(918) 287-9113
NPI assigned
Aug 21, 2013
Last updated
May 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2014

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

Authorized official

Name
Theresa A Flowerette, ARNP, NP-CNPI 1700800869
Title
Owner/Provider
Phone
(918) 287-9112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3512416926 OK Primary
Family Nurse Practitioner 363LF0000X 70154 OK
Family Medicine Physician 207Q00000X 27629 OK
Pain Medicine Physician 208VP0000X 27629 OK

Addresses

Primary practice location

230 E 5TH St
Pawhuska, OK 74056-5204

Mailing address

230 E 5TH St
Pawhuska, OK 74056-5204
Phone (918) 287-9112

Other names 1

  • Acadia Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400371200000",
    "number": "1710311154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 5TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740565204",
            "telephone_number": "918-287-9112",
            "fax_number": "918-287-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 5TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740565204",
            "telephone_number": "918-287-9112",
            "fax_number": "918-287-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA FAMILY MEDICAL CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2014-05-18",
        "status": "A",
        "authorized_official_last_name": "FLOWERETTE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "918-287-9112",
        "authorized_official_credential": "ARNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "3512416926",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "70154",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27629",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "27629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawhuska, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; 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.