Hometown Primary Care, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HOMETOWN PRIMARY CARE, PLLC

Practice address

13511 NE 23Rd St Ste 140
Choctaw, OK 73020-8625

Phone

(405) 591-3584

Fax

(405) 337-9596

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Candace D Herrin, APRN-CNPNPI 1114544871

Title

Member/Nurse Practitioner

Phone

(405) 591-3584

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: candace.herrin@410928117252100.direct.elationemr.com

Practitioners 1

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

• Candace Herrin, APRN-CNP

  • Family Nurse Practitioner
  • Guthrie, OK
  • NPI 1114544871
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1942945910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S SANDPIPER NEST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730207012",
            "telephone_number": "405-625-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13511 NE 23RD ST STE 140",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208625",
            "telephone_number": "405-591-3584",
            "fax_number": "405-337-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "HERRIN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "405-591-3584",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candace.herrin@410928117252100.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "13511 NE 23rd St Ste 140",
            "city": "Choctaw",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730208625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Michael Hogan, PT, MPT
• Holistic Physical Therapy and Wellness
• Cristina Michelle Holloway, MA, LMFT CANDIDATE
• Danielle Charlotte Marie Holmstrom
• Home Therapy Services PLLC
• Ellisa Hudson, APRN
• Ico Primary Care, LLC
• Immediate Care of Oklahoma
• Elizabeth Jamison
• Doretta Jenison, PA-C

• Clinic/Center in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.