Individual provider Active NPI

Lara Jean Easterwood, ARNP-CNP

  • Adult Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1790974103
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
76862 Issued in OK
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

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200186830AMedicaidOK

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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Specialists Inc CurrentSince May 1, 2013 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 PastSince May 1, 2013 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1334
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJECBA
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10062222
  • FHIR API: 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.

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

Verify at the official NPI Registry.