Individual provider Active NPI

Frelyn G Loughridge, APRN-CNP

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1932165768
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0042852 Issued in OK
Practice address
1025 15TH Ave NW
Ardmore, OK 73401-1810
Phone
(580) 319-5305
NPI assigned
Apr 21, 2006
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0042852 OK Primary

Addresses

Primary practice location

1025 15TH Ave NW
Ardmore, OK 73401-1810

Mailing address

1405 4TH Ave NW # 293
Ardmore, OK 73401-2708
Phone (580) 319-5305

Other identifiers 1

IdentifierTypeStateIssuer
R0042852OtherOKAPRN-CNP OKLAHOMA LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050219000005 OK Practitioner - Nurse Practitioner 9739131533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 15TH Ave NW
Ardmore, OK 73401-1810
Phone (580) 319-5306

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
42852OKMDRheumatology Physician
R0042852OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frelyn Loughridge Family Nurse Practitioner PC Family CurrentSince Apr 1, 2012 Accepting new patients
Mercy Health Services-Southern Region, LLC Past Accepting new patients
Connie M Wilson DO PC Past Accepting new patients
Dr Connie M Wilson PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1005 15th Ave NW
Ardmore, OK 73401
Phone (580) 223-4800

1025 15th Ave NW
Ardmore, OK 73401
Phone (580) 226-7673

1405 4th Ave NW
Ardmore, OK 73401
Phone (580) 226-5566

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1932165768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 4TH AVE NW # 293",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012708",
            "telephone_number": "580-319-5305",
            "fax_number": "580-223-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-319-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHRIDGE",
        "first_name": "FRELYN",
        "middle_name": "G",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0042852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP OKLAHOMA LICENSE",
            "identifier": "R0042852",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.