Individual provider Active NPI

Carmen Gabriela Nateras, APRN-CNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1861036055
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
123065 Issued in OK
Practice address
5970 E 31St St Ste I
Tulsa, OK 74135-5112
Phone
(918) 964-2596
Fax
(918) 512-4900
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 123065 OK Primary

Addresses

Primary practice location

5970 E 31St St Ste I
Tulsa, OK 74135-5112

Mailing address

6324 E 56TH PL
Tulsa, OK 74135-8111
Phone (918) 697-9352

Other identifiers 1

IdentifierTypeStateIssuer
123065OtherOKAPRN-CNP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.drchrono.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123065OKMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1861036055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 E 56TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741358111",
            "telephone_number": "918-697-9352",
            "fax_number": "918-512-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 E 31ST ST STE I",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355112",
            "telephone_number": "918-964-2596",
            "fax_number": "918-512-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATERAS",
        "first_name": "CARMEN",
        "middle_name": "GABRIELA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "123065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP",
            "identifier": "123065",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.drchrono.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5970 E 31st St Ste I",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741355112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.