Justin Holbrook, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0096294 Issued in OK

Practice address

2900 S Telephone Rd Ste 250
Moore, OK 73160-2969

Phone

(405) 237-7500

NPI assigned

Jun 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297

  Nurse Practitioner

  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891

  Nurse Practitioner

  Medicare reassignment NPD
• Icare Center LLC

  • Urgent Care Clinic/Center
  • Harrah, OK
  • NPI 1881190833
  Medicare reassignment NPD
• McBride Clinic Orthopedic Hospital, LLC

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1659413649
  Medicare reassignment NPD
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795

  Nurse Practitioner

  Medicare reassignment NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724

  Nurse Practitioner

  Medicare reassignment NPD
• SSM Health Care of Oklahoma, Inc

  dba SSM Health St Anthony Hospital - Oklahoma City

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1033283932
  Medicare reassignment
• Iacc/Ehi NW, LLC

  dba Integris Community Hospital-Council Crossing

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1194209155
  NPD (past)
• Iacc/Ehi NW, LLC

  dba INTEGRIS Community Hospital - Del City

  • General Acute Care Hospital
  • Del City, OK
  • NPI 1942784715
  NPD (past)
• Integris Baptist Medical Center Inc

  dba Integris Health Baptist Medical Center

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1831103654
  NPD (past)
• Integris Health Edmond, Inc

  dba INTEGRIS Health Edmond Hospital

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1720373103
  NPD (past)
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  NPD (past)

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1740695774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CHAMBERS ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730717261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD STE 250",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602969",
            "telephone_number": "405-237-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "JUSTIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "96294",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0096294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Kaye Hines
• Jonathan Hinton
• Hip-Enterprizes LTD
• Allyson Hodges
• Jenny Hoerr
• Holistic Healing LLC
• Holly F Nguyen Therapy LLC
• Kianna Holmes
• Anna M Homen, PH.D.
• Richard Sam Homsey, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.