Active NPI
Express Family Care LLC
- Primary Care Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1861873085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- F0613916
- Legal business name
- EXPRESS FAMILY CARE LLC
- Practice address
- 7117 W. Wilshire Blvd
Oklahoma City, OK 73132 - Phone
- (405) 470-1224
- Fax
- (405) 217-0063
- NPI assigned
- Jun 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmy Lee Tisdale, APRN
- Title
- Owner
- Phone
- (405) 470-1224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | F0613916 | OK | Primary |
Addresses
Primary practice location
7117 W. Wilshire Blvd
Oklahoma City, OK 73132
Mailing address
7117 W Wilshire Blvd
Oklahoma City, OK 73132-5575
Phone (405) 470-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7117 W Wilshire Blvd
Oklahoma City, OK 73132
Phone (405) 470-1224
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1477992253
-
- Physician Assistant
- Oklahoma City, OK
- NPI 1609419035
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1124392402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753920000000",
"number": "1861873085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 W WILSHIRE BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731325575",
"telephone_number": "405-470-1224",
"fax_number": "405-217-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 W. WILSHIRE BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73132",
"telephone_number": "405-470-1224",
"fax_number": "405-217-0063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-12",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A",
"authorized_official_last_name": "TISDALE",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-470-1224",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OK",
"license": "F0613916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.