Active NPI
Lara Jean Easterwood, ARNP-CNP
- Adult Health Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1790974103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 76862
- Practice address
- 5101 W Memorial Rd
Oklahoma City, OK 73142-2018 - Phone
- (405) 752-9600
- Fax
- (405) 752-9650
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 76862 | OK | Primary |
Addresses
Primary practice location
5101 W Memorial Rd
Oklahoma City, OK 73142-2018
Mailing address
PO Box 268938
Oklahoma City, OK 73126-8938
Phone (405) 752-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200186830A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Specialists Inc | Current | Accepting new patients | |
| Oklahoma Sleep Lung and Critical Care PLLC | Past | Accepting new patients | |
| Inpatient Consultants of Texas, PLLC | Past | Accepting new patients | |
| Digestive Disease Specialists Inc | Past | Accepting new patients |
Locations
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
3366 NW Expressway St
Ste 400
Oklahoma City, OK 73112
Phone (405) 702-1300
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1334
- https://fhir4.healow.com/fhir/r4/IJECBA
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10062222
- https://fhir4.healow.com/fhir/r4/FHFHCD
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Oklahoma City, OK
- NPI 1366489213
-
- Endoscopy Clinic/Center
- Oklahoma City, OK
- NPI 1083655823
-
- Hospitalist Physician
- Edmond, OK
- NPI 1144274655
-
- Pulmonary Disease Physician
- Oklahoma City, OK
- NPI 1811125388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1790974103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268938",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268938",
"telephone_number": "405-752-9600",
"fax_number": "405-752-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 W MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422018",
"telephone_number": "405-752-9600",
"fax_number": "405-752-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERWOOD",
"first_name": "LARA",
"middle_name": "JEAN",
"credential": "ARNP-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OK",
"license": "76862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200186830A",
"state": "OK"
}
],
"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 Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.