Active NPI
Laura Jackson, DNP
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 222769
- Practice address
- 101 W Hefner Rd
Oklahoma City, OK 73114-6631 - Phone
- (405) 896-8058
- Fax
- (405) 417-4257
- NPI assigned
- May 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 222769 | OK | Primary |
Addresses
Primary practice location
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Mailing address
2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223
Other practice location 1
3209 S Broadway Ste 229
Edmond, OK 73013-4064
Phone (551) 295-8223
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3209 S Broadway
Suite 229
Edmond, OK 73013-4064
Phone (551) 295-8223
Hospital & facility affiliations
- Elara Caring XXV
- Complete Home Health of Western Oklahoma
- Angels Care Home Health of East Oklahoma
- Truheart Home Health
- Care Plus Home Health Care, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ II PC | Current | Accepting new patients | |
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223
101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1043192099
OK
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tulsa, OK
- NPI 1730147570
-
- Home Health Agency
- Enid, OK
- NPI 1174519102
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
- Home Health Agency
- Tulsa, OK
- NPI 1487718011
-
- Home Health Agency
- Tulsa, OK
- NPI 1437164969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1962293969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 204",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016211",
"telephone_number": "551-295-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W HEFNER RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731146631",
"telephone_number": "405-896-8058",
"fax_number": "405-417-4257"
}
],
"practiceLocations": [
{
"address_1": "3209 S Broadway Ste 229",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730134064",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "LAURA",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-16",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "222769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.