Organization Active NPI

Martha B. Cordova RN Arnp PLC

Doing business as Chosen Healthcare

  • Family Nurse Practitioner
  • Wetumka, OK
National Provider Identifier
1891740791
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R63105 Issued in OK
Legal business name
MARTHA B. CORDOVA RN ARNP PLC
Doing business as
Chosen Healthcare
Practice address
2148 N 381
Wetumka, OK 74883-6101
Phone
(405) 452-5155
Fax
(405) 452-5155
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Martha Cordova, RN, ARNP, NP-CNPI 1396725289
Title
President
Phone
(405) 452-5155

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R63105 OK Primary

Addresses

Primary practice location

2148 N 381
Wetumka, OK 74883-6101

Mailing address

2148 N 381
Wetumka, OK 74883-6101
Phone (405) 452-5155

Other names 1

  • Chosen Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891740791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 N 381",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748836101",
            "telephone_number": "405-452-5155",
            "fax_number": "405-452-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 N 381",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748836101",
            "telephone_number": "405-452-5155",
            "fax_number": "405-452-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA B. CORDOVA RN ARNP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-452-5155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, ARNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R63105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chosen Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wetumka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.