Individual provider Active NPI

Julia Danielle Ripley, CNP-FAMILY

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1811515414
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
107401 Issued in OK
Practice address
4411 W Gore Blvd Ste B1
Lawton, OK 73505-5977
Phone
(580) 248-8000
Fax
(580) 248-4877
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 107401 OK Primary

Addresses

Primary practice location

4411 W Gore Blvd Ste B1
Lawton, OK 73505-5977

Mailing address

4411 W Gore Blvd Ste B1
Lawton, OK 73505-5977
Phone (580) 248-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002662 OK Practitioner - Nurse Practitioner 2264881358 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jaroslaw K Paszkowiak MD PC Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4411 W Gore Blvd
Ste B1
Lawton, OK 73505
Phone (580) 248-8000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHECD

Organizations & group practices 2

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1811515414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD STE B1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-248-8000",
            "fax_number": "580-248-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD STE B1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-248-8000",
            "fax_number": "580-248-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPLEY",
        "first_name": "JULIA",
        "middle_name": "DANIELLE",
        "credential": "CNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "107401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.