Individual provider Active NPI

Darshi Wickrama Edirisooriya, APRN-CNP

  • Pediatric Nurse Practitioner
  • Claremore, OK
National Provider Identifier
1740756840
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
M131211 Issued in OK
Practice address
1001 N Florence Ave
Claremore, OK 74017-6207
Phone
(918) 283-4660
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X M131211 OK Primary

Addresses

Primary practice location

1001 N Florence Ave
Claremore, OK 74017-6207

Mailing address

1001 N Florence Ave
Claremore, OK 74017-6207
Phone (918) 283-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
M131211OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Gardner PLLC Pediatrics PastSince Feb 9, 2025 Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients
Patricia a Farmer, Aprn-CNP, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7413/brand/1/csg/1/fhir/r4
  • Direct secure messaging: darshi.edirisooriya.2@34009.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1740756840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176207",
            "telephone_number": "918-283-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176207",
            "telephone_number": "918-283-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDIRISOORIYA",
        "first_name": "DARSHI",
        "middle_name": "WICKRAMA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "M131211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.