Individual provider Active NPI

Elisa Renee Joseph, RN

  • Perinatal Registered Nurse
  • Oklahoma City, OK
National Provider Identifier
1790473585
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Registered NurseTaxonomy code 163WP1700X
License
207617 Issued in OK
Practice address
1701 N Martin Luther King Ave
Oklahoma City, OK 73111-1401
Phone
(405) 694-0763
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 207617 OK
Lactation Consultant (Registered Nurse) 163WL0100X 207617 OK
Community Health Registered Nurse 163WC1500X 207617 OK
Home Health Registered Nurse 163WH0200X 207617 OK
Maternal Newborn Registered Nurse 163WM0102X 207617 OK
Nutrition Support Registered Nurse 163WN1003X 207617 OK
Perinatal Registered Nurse 163WP1700X 207617 OK Primary

Addresses

Primary practice location

1701 N Martin Luther King Ave
Oklahoma City, OK 73111-1401

Mailing address

3122 NW Expressway Apt 194
Oklahoma City, OK 73112-4021
Phone (405) 694-0763

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
207617OKMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Maternal Society CurrentSince May 14, 2023 Accepting new patients

Locations

1701 N Martin Luther King Ave
Oklahoma City, OK 73111
Phone (405) 317-8110

Organizations & group practices 1

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1790473585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 NW EXPRESSWAY APT 194",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124021",
            "telephone_number": "405-694-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MARTIN LUTHER KING AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731111401",
            "telephone_number": "405-694-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ELISA",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OK",
            "license": "207617",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OK",
            "license": "207617",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "207617",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "207617",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "OK",
            "license": "207617",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "OK",
            "license": "207617",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "OK",
            "license": "207617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.