Active NPI
Agnes Tonkumoh, CNP
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 90102
- Practice address
- 11600 Shasta LN
Oklahoma City, OK 73162-1601 - Phone
- (405) 923-2933
- NPI assigned
- Feb 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 90102 | OK | Primary |
Addresses
Primary practice location
11600 Shasta LN
Oklahoma City, OK 73162-1601
Mailing address
11600 Shasta LN
Oklahoma City, OK 73162-1601
Phone (405) 923-2933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 N 30TH St
Clinton, OK 73601-3117
Phone (405) 752-0871
11100 Hefner Pointe Dr
Suite a
Oklahoma City, OK 73120-5049
Phone (405) 752-0871
2408 E 81St St
Suite 110
Tulsa, OK 74137-4215
Phone (405) 752-0871
4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 752-0871
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- Integris Baptist Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90102 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Cancer and Blood Specialists, LLC | Current | Accepting new patients |
Locations
100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363
11100 Hefner Pointe Dr
Ste A
Oklahoma City, OK 73120
Phone (405) 752-0871
4400 Grant Blvd
Yukon, OK 73099
Phone (405) 467-4440
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Oklahoma City, OK
- NPI 1831485267
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517702400000",
"number": "1891294906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 SHASTA LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731621601",
"telephone_number": "405-923-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 SHASTA LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731621601",
"telephone_number": "405-923-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONKUMOH",
"first_name": "AGNES",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-04",
"last_updated": "2018-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "90102",
"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 Feb 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.