Individual provider Active NPI

Angela Jeanette Thayer

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1841774544
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83626 Issued in OK
Practice address
1431 24TH Ave NW
Norman, OK 73069-6386
Phone
(405) 573-5400
Fax
(405) 951-8849
NPI assigned
Sep 18, 2018
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 83626 OK Primary

Addresses

Primary practice location

1431 24TH Ave NW
Norman, OK 73069-6386

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 573-5400

Other names 1

  • Angela Jeanette Camp Former name

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
I20190125000802 OK Practitioner - Nurse Practitioner 3779820949 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GDN LLCGroup PAC ID 7810236007, 11 clinicians
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

1315 Chisholm Trail Pkwy
Duncan, OK 73533-1544
Phone (580) 606-6852

3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center of Garvin County LLC CurrentSince Mar 1, 2022 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Dec 13, 2022 Accepting new patients
Southern Plains Medical Center of Garvin County LLC CurrentSince Mar 1, 2022 Accepting new patients
Medical Resource Management, LLC CurrentSince Dec 13, 2022 Accepting new patients
Integris Health Allset Urgent Care LLC CurrentSince Sep 4, 2024 Accepting new patients
GDN LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1315 Chisholm Trail Pkwy
Duncan, OK 73533
Phone (580) 574-3630

1431 24th Ave NW
Norman, OK 73069
Phone (405) 573-5400

3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

100 Valley Dr
Pauls Valley, OK 73075
Phone (405) 238-5501

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • Direct secure messaging: acamp17173@direct.integrisok.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1841774544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "405-573-5400",
            "fax_number": "405-951-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696386",
            "telephone_number": "405-573-5400",
            "fax_number": "405-951-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "ANGELA",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CAMP",
            "middle_name": "JEANETTE",
            "credential": "APRN-NPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.