Active NPI
Gilead Telehealth
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
National Provider Identifier
1881364594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GILEAD TELEHEALTH
- Practice address
- 200 Vicksburg Ave Apt M2
Norman, OK 73071-2479 - Phone
- (240) 551-3447
- Fax
- (405) 217-2058
- NPI assigned
- Sep 14, 2021
- 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
- Magdaline Etawu Epie, APRN, CNP, PMHNP
- Title
- Psychiatric Nurse Practitioner
- Phone
- (240) 551-3447
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
200 Vicksburg Ave Apt M2
Norman, OK 73071-2479
Mailing address
200 Vicksburg Ave Apt M2
Norman, OK 73071-2479
Phone (240) 551-3447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EIN | Medicaid | OK |
Other names 1
- Gilead Telehealth
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | TherapyNote | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1912642208
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Moore, OK
- NPI 1205468881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631577600000",
"number": "1881364594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 VICKSBURG AVE APT M2",
"city": "NORMAN",
"state": "OK",
"postal_code": "730712479",
"telephone_number": "240-551-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VICKSBURG AVE APT M2",
"city": "NORMAN",
"state": "OK",
"postal_code": "730712479",
"telephone_number": "240-551-3447",
"fax_number": "405-217-2058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILEAD TELEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A",
"authorized_official_last_name": "EPIE",
"authorized_official_first_name": "MAGDALINE",
"authorized_official_middle_name": "ETAWU",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "240-551-3447",
"authorized_official_credential": "APRN, CNP, PMHNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EIN",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "TherapyNote",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "business email",
"address_1": "200 Vicksburg Ave Apt M2",
"city": "Norman",
"state": "OK",
"country_code": "US",
"postal_code": "730712479",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Gilead Telehealth",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.