Active NPI
Fresh Medical LLC
- Nurse Practitioner
- Weatherford, OK
National Provider Identifier
1740664580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0092194
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ashley Dawn Morris, NP
- Title
- Office Adminstrator
- Phone
- (580) 774-2214
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Weatherford, OK
- NPI 1659301059
National Provider Directory
National Provider DirectoryLocations
4200 Carriage Way
Weatherford, OK 73096
Phone (405) 505-2505
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 817 | OK | |
| Nurse Practitioner | 363L00000X | R0092194 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4200 Carriage Way
Weatherford, OK 73096-9614
Mailing address
4200 Carriage Way
Weatherford, OK 73096-9614
Phone (580) 774-2214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2015.
{
"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": []
}
Other providers in Weatherford, OK
Sources for this page
- 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.