Individual provider Active NPI

Teeia Strout, FNP

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1861097479
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0112399 Issued in OK
Practice address
1109 Lindsey LN
Moore, OK 73160-8456
Phone
(405) 778-0031
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 R0112399 OK Primary

Addresses

Primary practice location

1109 Lindsey LN
Moore, OK 73160-8456

Mailing address

1109 Lindsey LN
Moore, OK 73160-8456
Phone (405) 778-0031

Other names 1

  • Teeia Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210810000532 TX Practitioner - Nurse Practitioner 3375947609 Reassigns benefits to 1 organization
I20220426002453 OK Practitioner - Nurse Practitioner 3375947609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians
Icare Center LLCGroup PAC ID 0840555777, 28 clinicians
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

1121 NW 63Rd St
Suite 5001
Nichols Hills, OK 73116-6504
Phone (405) 652-0632

21001 SE 29TH St
Harrah, OK 73045-6591
Phone (405) 391-5526

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
Integris Health Allset Urgent Care LLC CurrentSince May 20, 2024 Accepting new patients
Citizen Potawatomi Nation CurrentSince Apr 27, 2021 Accepting new patients
Citizen Potawatomi Nation CurrentSince Apr 27, 2021 Accepting new patients
Icare Center LLC CurrentSince Jan 14, 2022 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Dec 11, 2023 Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632

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

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

Interoperability endpoints

  • FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
  • Direct secure messaging: tstrout485968@direct.integrisok.com

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1861097479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LINDSEY LN",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731608456",
            "telephone_number": "405-778-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 LINDSEY LN",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731608456",
            "telephone_number": "405-778-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUT",
        "first_name": "TEEIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0112399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEEIA",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.