Active NPI
Dawn Cerise Womack, ARNP
- Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0062718
- Practice address
- 4200 W Memorial Rd
901
Oklahoma City, OK 73120-9350 - Phone
- (405) 749-4247
- Fax
- (405) 749-4249
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0062718 | OK | Primary |
Addresses
Primary practice location
4200 W Memorial Rd
901
Oklahoma City, OK 73120-9350
Mailing address
4200 W.Memorial Rd
901
Oklahoma, OK 73120-8305
Phone (405) 749-4247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100214830A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 NW 150TH St
Suite 100
Edmond, OK 73013-2264
Phone (405) 938-2006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0062718 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Oklahoma Ambulatory Services LLC | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Integris Health Allset Urgent Care LLC | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Northside Digestive Diseases, Inc. | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
2201 NW 150th St
Ste 100
Edmond, OK 73013
Phone (405) 938-2006
1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
4300 W Memorial Rd
#901
Oklahoma City, OK 73120
Phone (405) 749-4247
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100
4200 W Memorial Rd
Ste 901
Oklahoma City, OK 73120
Phone (405) 242-4030
3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1164107256
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Urgent Care Clinic/Center
- Moore, OK
- NPI 1922509173
-
- Rural Health Clinic/Center
- Guthrie, OK
- NPI 1184905507
-
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
- Gastroenterology Physician
- Oklahoma City, OK
- NPI 1528253549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1720189350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W.MEMORIAL RD",
"address_2": "901",
"city": "OKLAHOMA",
"state": "OK",
"postal_code": "731208305",
"telephone_number": "405-749-4247",
"fax_number": "405-749-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-749-4247",
"fax_number": "405-749-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "DAWN",
"middle_name": "CERISE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0062718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100214830A",
"state": "OK"
}
],
"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 Aug 13, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.