Individual provider Active NPI

Alicia Avila Kreman, APRN-CNP

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1770224271
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206160 Issued in OK
Practice address
11109 Surrey Hills Blvd
Yukon, OK 73099-8155
Phone
(405) 373-2400
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 206160 OK Primary

Addresses

Primary practice location

11109 Surrey Hills Blvd
Yukon, OK 73099-8155

Mailing address

14401 N May Ave
Oklahoma City, OK 73134-5002
Phone (405) 302-3033

Other practice location 1

14401 N May Ave
Oklahoma City, OK 73134-5002
Phone (405) 302-3033

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
I20221013000062 OK Order and Referring Only - Nurse Practitioner 6406222611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Family Clinic & Minor Single Specialty Past Accepting new patients
Family Health Care & Minor Emergency Clinic Inc Single Specialty Past Accepting new patients
Fhcokc, Inc Single Specialty Past Accepting new patients

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1770224271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731345002",
            "telephone_number": "405-302-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 SURREY HILLS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998155",
            "telephone_number": "405-373-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14401 N May Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731345002",
            "country_code": "US",
            "telephone_number": "405-302-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMAN",
        "first_name": "ALICIA",
        "middle_name": "AVILA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.