Uptown Medical Center Aprn-CNP, PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

83097 Issued in OK

Legal business name

UPTOWN MEDICAL CENTER APRN-CNP, PLLC

Doing business as

Uptown Medical Center

Practice address

1207 S Sunnylane Rd
Del City, OK 73115-3011

Phone

(405) 208-4573

Fax

(405) 429-0483

NPI assigned

Mar 17, 2018

Organization subpart

Yes

Parent organization

UPTOWN MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Ms. Porsha Lynn Richardson, NPNPI 1154621423

Title

Member

Phone

(405) 474-0429

Specialties & licenses 2

Addresses

Other names 1

• Uptown Medical Center Doing business as

Part of

Uptown Medical Center Aprn-CNP PLLC

Locations

Practitioners 1

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

• Porsha Lynn Richardson, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Midwest City, OK
  • NPI 1154621423
  NPD (past) Authorized official

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1811490691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55691",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731550691",
            "telephone_number": "405-208-4573",
            "fax_number": "405-429-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153011",
            "telephone_number": "405-208-4573",
            "fax_number": "405-429-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN MEDICAL CENTER APRN-CNP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPTOWN MEDICAL CENTER",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "PORSHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-474-0429",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "83097",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Health Nurse Practitioner in Del City, OK
• Providers in Del City, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.