Fresh Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0092194 Issued in OK

Legal business name

FRESH MEDICAL LLC

Practice address

4200 Carriage Way
Weatherford, OK 73096-9614

Phone

(580) 774-2214

Fax

(580) 774-2843

NPI assigned

Jul 10, 2015

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Dawn Morris, NP

Title

Office Adminstrator

Phone

(580) 774-2214

Specialties & licenses 2

Addresses

Locations

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.

• Douglas B Cook, D.C.

  • Chiropractor
  • Weatherford, OK
  • NPI 1659301059
  NPD

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1740664580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CARRIAGE WAY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969614",
            "telephone_number": "580-774-2214",
            "fax_number": "580-774-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CARRIAGE WAY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969614",
            "telephone_number": "580-774-2214",
            "fax_number": "580-774-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE ADMINSTRATOR",
        "authorized_official_telephone_number": "580-774-2214",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "817",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0092194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Leigh Fite
• Matt Kenneth Fleming, PTA
• Jasmin Flores
• Myra Joy Frantz, O.D., P.C.
• Tia Frazier
• Zachary Frymire, PT, DPT
• Ariel Gaines
• Krista Nicole Garcia
• September Garcia
• Yesenia Garcia

• Nurse Practitioner in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.