Individual provider Active NPI

Emily Lauren Winters, APRN

  • Family Nurse Practitioner
  • Medicine Park, OK
National Provider Identifier
1760947022
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112624 Issued in OK
Practice address
19055 State Highway 49
Medicine Park, OK 73557
Phone
(580) 595-5503
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 112624 OK Primary

Addresses

Primary practice location

19055 State Highway 49
Medicine Park, OK 73557

Mailing address

19055 State Highway 49
Medicine Park, OK 73557
Phone (580) 595-5503

Other names 1

  • Emily Lauren Underhill Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191231000944 OK Practitioner - Nurse Practitioner 9537593405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 W Gore Blvd
Lawton, OK 73505-6332

5404 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 355-5242

Hospital & facility affiliations

  • Carter Healthcare of Southwest Oklahoma, LLC Home health agency, Lawton, OK, CCN 377636
  • Memorial Health Hospital, Lawton, OK, CCN 370056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
112624OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince Jan 1, 2021 Accepting new patients
Comanche County Hospital Authority Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Comanche County Healthcare Past Accepting new patients
Comanche County Hospital Authority Single Specialty Past Accepting new patients
Comanche County Hospital Authority PastSince Apr 23, 2023 Accepting new patients

Locations

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500

1202 NW Arlington Ave
Lawton, OK 73507
Phone (580) 248-2288

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3201 W Gore Blvd
Ste 301
Lawton, OK 73505
Phone (580) 248-8225

Interoperability endpoints

  • Direct secure messaging: emily.winters@lawtoncommunityhealthcenter.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1760947022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19055 STATE HIGHWAY 49",
            "city": "MEDICINE PARK",
            "state": "OK",
            "postal_code": "73557",
            "telephone_number": "580-595-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19055 STATE HIGHWAY 49",
            "city": "MEDICINE PARK",
            "state": "OK",
            "postal_code": "73557",
            "telephone_number": "580-595-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "112624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "UNDERHILL",
            "middle_name": "LAUREN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medicine Park, OK

Sources for this page

Verify at the official NPI Registry.