Organization Active NPI

Frelyn Loughridge Family Nurse Practitioner PC

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1730453846
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
42852 Issued in OK
Legal business name
FRELYN LOUGHRIDGE FAMILY NURSE PRACTITIONER PC
Practice address
1005 15TH Ave NW
Ardmore, OK 73401-1810
Phone
(580) 319-5306
Fax
(580) 223-6581
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Miss Frelyn Loughridge, ARNP-CNPNPI 1932165768
Title
President/Ceo
Phone
(580) 319-5306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 42852 OK Primary

Addresses

Primary practice location

1005 15TH Ave NW
Ardmore, OK 73401-1810

Mailing address

1405 4TH Ave NW # 293
Ardmore, OK 73401-2708
Phone (580) 319-5306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000783 OK Part B Supplier - Clinic/Group Practice 0244494623 Receives reassigned benefits from 1 practitioner
Practice locations: Ardmore, OK

National Provider Directory

National Provider Directory

Locations

1025 15th Ave NW
Ardmore, OK 73401
Phone (580) 226-7673

1405 4th Ave NW
Ardmore, OK 73401
Phone (580) 226-5566

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1730453846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 4TH AVE NW # 293",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012708",
            "telephone_number": "580-319-5306",
            "fax_number": "580-223-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-319-5306",
            "fax_number": "580-223-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRELYN LOUGHRIDGE FAMILY NURSE PRACTITIONER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "LOUGHRIDGE",
        "authorized_official_first_name": "FRELYN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "580-319-5306",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ARNP-CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "42852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.