Individual provider Active NPI

Starla Ranee Harris, NP-C

  • Pediatric Nurse Practitioner
  • Chickasha, OK
National Provider Identifier
1942726930
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71474 Issued in OK
Practice address
2222 W Iowa Ave
Chickasha, OK 73018-2738
Phone
(405) 224-8111
NPI assigned
Aug 21, 2017
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71474 OK
Pediatric Nurse Practitioner 363LP0200X 71474 OK Primary

Addresses

Primary practice location

2222 W Iowa Ave
Chickasha, OK 73018-2738

Mailing address

250 12TH Ave NE
Norman, OK 73071-5237
Phone (405) 321-4048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71474OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Southern Plains Medical Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Southern Plains Medical Center Inc Current Accepting new patients
Kingston Pharmacy LLC PastSince Dec 29, 2017 Accepting new patients
Aky MD, LLC Past Accepting new patients

Locations

2222 W Iowa Ave
Chickasha, OK 73018
Phone (405) 592-3937

200 Melville Dr
Pauls Valley, OK 73075
Phone (405) 238-5555

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

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.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1942726930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 12TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715237",
            "telephone_number": "405-321-4048",
            "fax_number": "405-364-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STARLA",
        "middle_name": "RANEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "71474",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "71474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.