Organization Active NPI

Misty Dean, Inc

  • Nurse Practitioner
  • Norman, OK
National Provider Identifier
1740715630
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0067385 Issued in OK
Legal business name
MISTY DEAN, INC
Practice address
4401 SE 37TH St
Norman, OK 73071-8138
Phone
(405) 410-5675
Fax
(405) 429-7522
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Authorized official

Name
Mrs. Misty D Dean, APRN-CNP
Title
President
Phone
(405) 410-5675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X R0067385 OK Primary

Addresses

Primary practice location

4401 SE 37TH St
Norman, OK 73071-8138

Mailing address

4401 SE 37TH St
Norman, OK 73071-8138
Phone (405) 410-5675

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1740715630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SE 37TH ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730718138",
            "telephone_number": "405-410-5675",
            "fax_number": "405-429-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SE 37TH ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730718138",
            "telephone_number": "405-410-5675",
            "fax_number": "405-429-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY DEAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-410-5675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0067385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.