Active NPI
Colleen Afadama
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137914
- Practice address
- 10204 Hawthorn Dr
Oklahoma City, OK 73120-2800 - Phone
- (405) 833-1184
- NPI assigned
- Jul 8, 2018
- Last updated
- Dec 29, 2019
- 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 | AP137914 | TX | Primary |
Addresses
Primary practice location
10204 Hawthorn Dr
Oklahoma City, OK 73120-2800
Mailing address
10204 Hawthorn Dr
Oklahoma City, OK 73120-2800
Phone (405) 833-1184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.97 of 100
- Quality
- 43.69
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 67.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137914 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Interventional Pain Management, P.L.L.C | Current | Accepting new patients | |
| North Texas Vascular & Varicose | Current | Accepting new patients | |
| Premier Interventional Pain Management, P.L.L.C | Current | Accepting new patients | |
| Medical Care Transportation LLC | Current | Accepting new patients |
Locations
2321 Olympia Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 350-0225
2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225
777 Main St
Ste 100
Frisco, TX 75036
Phone (972) 378-5347
300 S Nolen Dr
Ste 140
Southlake, TX 76092
Phone (817) 488-0410
620 N Kimball Ave
Ste 100
Southlake, TX 76092
Phone (817) 328-8376
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Frisco, TX
- NPI 1942471073
-
- Non-emergency Medical Transport (VAN)
- Frisco, TX
- NPI 1982368023
-
dba Flower Mound Pain and Spine
- Interventional Pain Medicine Physician
- Flower Mound, TX
- NPI 1134453129
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1982178794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577577600000",
"number": "1902392483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10204 HAWTHORN DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731202800",
"telephone_number": "405-833-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10204 HAWTHORN DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731202800",
"telephone_number": "405-833-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFADAMA",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-08",
"last_updated": "2019-12-29",
"certification_date": "2019-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Advocate Home Health Care Inc
- Advocate Hospice Care LLC (ACG Hospice II)
- Aerocare Home Medical Equipment, Inc.
- Katlin Michele Aeschleman, MSOP, CO
- Aetna Better Health of Oklahoma Inc.
- Melynda Affentranger, DPT
- Hagar Affify
- Affiliated Anesthesiologists, Inc
- Affiliated Anesthesiologists, LLC
- Affinity Care of Oklahoma LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.