Individual provider Active NPI

Tara R Narvaiz, FNP-C

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1952809097
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104712 Issued in OK
Practice address
1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone
(405) 703-0937
Fax
(888) 290-8567
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 104712 OK Primary

Addresses

Primary practice location

1109 SW 30TH CT Ste a
Moore, OK 73160-2887

Mailing address

2379 County Road 1201
Tuttle, OK 73089-1067
Phone (405) 837-3319

Other practice location 1

15132 Traditions Blvd
Edmond, OK 73013-1182
Phone (405) 703-0937 ext. 3

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
I20181115000116 OK Practitioner - Nurse Practitioner 9638423379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey Miller MD PLLCGroup PAC ID 0244525863, 7 clinicians
Family Urgent Care Yukon LLCGroup PAC ID 8325322027, 3 clinicians

Practice addresses (Care Compare)

1109 SW 30TH CT
Suite a
Moore, OK 73160-2887
Phone 40570309372

2525 Cornwell Dr
Yukon, OK 73099-5807
Phone (405) 265-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104712OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Miller, MD PLLC CurrentSince Oct 7, 2022 Accepting new patients
Family First Urgent Care LLC PastSince Oct 1, 2018 Accepting new patients

Locations

15132 Traditions Blvd
Edmond, OK 73013
Phone 4057030937 ext. 3

1109 SW 30th Ct
#A
Moore, OK 73160
Phone (405) 703-0937

1000 N Lincoln Blvd
Ste 150
Oklahoma City, OK 73104
Phone (405) 232-8696

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDIBD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1952809097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 COUNTY ROAD 1201",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730891067",
            "telephone_number": "405-837-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15132 Traditions Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131182",
            "country_code": "US",
            "telephone_number": "405-703-0937 x3",
            "fax_number": "888-290-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARVAIZ",
        "first_name": "TARA",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "104712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.