Individual provider Active NPI

Dawn Cerise Womack, ARNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1720189350
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0062718 Issued in OK
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

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100214830AMedicaidOK

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
I20091119000138 OK Practitioner - Nurse Practitioner 5698813244 Reassigns benefits to 4 organizations

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
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

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

LicenseStateTypeSpecialty
R0062718OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Mar 21, 2021 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 1, 2012 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 1, 2012 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Integris Health Allset Urgent Care LLC CurrentSince Jul 7, 2025 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Feb 16, 2012 Accepting new patients
Northside Digestive Diseases, Inc. Past Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Mar 21, 2021 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.

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

Verify at the official NPI Registry.