Organization Active NPI

Fresh Medical LLC

  • Nurse Practitioner
  • Weatherford, OK
National Provider Identifier
1740664580
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
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
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.

National Provider Directory

National Provider Directory

Locations

4200 Carriage Way
Weatherford, OK 73096
Phone (405) 505-2505

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 817 OK
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X R0092194 OK Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.