NPIMap

Individual provider Active NPI

Julie Hawkins, ARNP

  • Nurse Practitioner
  • Weatherford, OK
National Provider Identifier
1790770675
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0058220 Issued in OK
Practice address
215 N Kansas St
Weatherford, OK 73096-5443
Phone
(580) 774-4710
Fax
(580) 774-0964
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0058220 OK Primary

Addresses

Primary practice location

215 N Kansas St
Weatherford, OK 73096-5443

Mailing address

215 N Kansas St
Weatherford, OK 73096-5443
Phone (580) 774-4710

Other identifiers 2

IdentifierTypeStateIssuer
R0058220OtherOKLICENSE
100699690GMedicaidOK

Other names 1

  • Julie Odom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000817 OK Practitioner - Nurse Practitioner 3779521307 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carnegie Tri-County Municipal Hospital Management Inc 12 clinicians

Practice addresses (Care Compare)

PO Box
Suite 97
Carnegie, OK 73015

Hospital & facility affiliations

  • Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
  • Cohesive Healthcare Home health agency, Shawnee, OK, CCN 377781
  • Carnegie Tri-County Municipal Hospital Hospital, Carnegie, OK, CCN 371334
  • Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054

Merit-based Incentive Payment System (MIPS)

Final score
70.05 of 100Reported as group
Quality
52.07
Promoting interoperability
100
Improvement activities
40
Cost
48.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0058220OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weatherford Hospital Authority CurrentSince Jan 18, 2019 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

101 W Ash St
Carnegie, OK 73015
Phone (580) 654-1154

102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carntri-0870329c

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 10

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1790770675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N KANSAS ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965443",
            "telephone_number": "580-774-4710",
            "fax_number": "580-774-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N KANSAS ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965443",
            "telephone_number": "580-774-4710",
            "fax_number": "580-774-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0058220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R0058220",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699690G",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ODOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.