Active NPI
Julia Danielle Ripley, CNP-FAMILY
- Family Medicine Physician
- Lawton, OK
National Provider Identifier
1811515414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 107401
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaroslaw K Paszkowiak MD PC | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Lawton, OK
- NPI 1790887263
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.