John Carroll Casady Jr., APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

64315 Issued in OK

Practice address

304 Fairlane Ave
Sulphur, OK 73086-6861

Phone

(580) 622-2144

NPI assigned

Jan 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1891202552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1713",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748211713",
            "telephone_number": "580-656-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FAIRLANE AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730866861",
            "telephone_number": "580-622-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASADY",
        "first_name": "JOHN",
        "middle_name": "CARROLL",
        "name_suffix": "Jr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "64315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Boles
• Evan Lee Bragg, O.D.
• Charity R Bridges, LPN
• Leisa Gayle Carr
• Clarizza Carroll, APRN, CNS
• Braley Rae Claxton, PTA
• Margaret A Coker, D.D.S
• Amanda V Conley, PHARMD
• Connections NLP, LLC
• Counseling, Inc.

• Family Nurse Practitioner in Sulphur, OK
• Providers in Sulphur, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.