Healthcare Stat of Anadarko Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

97727 Issued in OK

Legal business name

HEALTHCARE STAT OF ANADARKO INC

Practice address

1503 S Mission St
Suite a
Anadarko, OK 73005-5815

Phone

(405) 247-1100

Fax

(405) 247-1155

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Shawn Bonilla, APRN

Title

Owner

Phone

(405) 822-2761

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsie Rae-Anne Petrie, FNP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1083385934
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1811359607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5908",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730705908",
            "telephone_number": "405-247-1100",
            "fax_number": "405-247-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S MISSION ST",
            "address_2": "SUITE A",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730055815",
            "telephone_number": "405-247-1100",
            "fax_number": "405-247-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE STAT OF ANADARKO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-822-2761",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3253",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "97727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gena Gorman, RN
• Ashlee Nicole Gutierrez, PHARMD
• Dylan Wyatt Hance, OD
• Donald F Haslam, MD
• Andrea Hayes, APRN-CNP
• Kenneth Rex Heddlesten, LPC
• Jon P Henderson, DVM
• Marcella Rae Hill, LPN/ IBCLC
• Rohit Hirani
• Heather Nicole Hokeah

• Family Nurse Practitioner in Anadarko, OK
• Providers in Anadarko, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.