NPIMap

Organization Active NPI

Variety Care, Inc.

Doing business as Variety Care Mobile Women's Health

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
National Provider Identifier
1942045455
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VARIETY CARE, INC.
Doing business as
Variety Care Mobile Women's Health
Practice address
1025 Straka Ter
Oklahoma City, OK 73139-2544
Phone
(405) 632-6688
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VARIETY CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Ashley Horn
Title
Comptroller
Phone
(405) 632-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1025 Straka Ter
Oklahoma City, OK 73139-2544

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

Other names 1

  • Variety Care Mobile Women's Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000467 OK Part B Supplier - Clinic/Group Practice 1557260007 Receives reassigned benefits from 135 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clinton, OK; Anadarko, OK; Yukon, OK; Oklahoma City, OK; Del City, OK; Edmond, OK; Fort Cobb, OK; Grandfield, OK…
O20260225002790 OK Part A Provider - Federally Qualified Health Center (FQHC) 1557260007 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942045455. Details of each certification follow.

Federally qualified health center certification: CCN 371059

Legal name
VARIETY CARE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 5, 2026
Last certification
Jan 5, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1025 Straka Ter
Oklahoma City, OK 73139-2544

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Tax ID family
Variety Care27 organizations share this tax ID, including this one
Part of
Variety Care

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

718 W Petree Rd
Anadarko, OK 73005

2000 E 15th St
Ste 400A
Edmond, OK 73013
Phone (405) 341-1697

201 NE 50th St
Rm 117
Oklahoma City, OK 73105

2400 NW 36th St
Ste 100
Oklahoma City, OK 73112
Phone (405) 326-6688

420 NW 6th St
Oklahoma City, OK 73102
Phone (405) 235-6466

440 N Portland Ave
Oklahoma City, OK 73107

440 N Portland Ave
Ste 1000
Oklahoma City, OK 73107

500 SE Grand Blvd
Oklahoma City, OK 73129
Phone (405) 605-8232

500 SW 36th St
Oklahoma City, OK 73109
Phone (405) 317-4230

715 N Walker Ave
#2
Oklahoma City, OK 73102

744 SE 25th St
Oklahoma City, OK 73129
Phone (405) 636-1463

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Louise R Carmichael Individual Operational/Managerial ControlCeo Dec 1, 2004
Ana Deisy Escalera Individual Corporate OfficerBoard Vice Chair Dec 1, 2020
Leslie Warrior Individual Corporate OfficerBoard Secretary Mar 1, 2017
Jason Pledger Individual Corporate OfficerBoard Chair Jul 1, 2018
Nadine Davidson Individual Operational/Managerial ControlRevenue Cycle Management Director Sep 3, 2019
Donald Nevard Individual Corporate OfficerBoard Treasurer Jun 1, 2022

Practitioners & affiliated clinicians

Practitioners 128

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 128

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1942045455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 STRAKA TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392544",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARIETY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VARIETY CARE, INC.",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "405-632-6688"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Variety Care Mobile Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.