Active NPI
Mary Anne Secrist, MS, RN, CNS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Oklahoma City, OK
National Provider Identifier
1962401653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R0026857
- Practice address
- 4720 S Western Ave
Oklahoma City, OK 73109-3834 - Phone
- (405) 634-5529
- Fax
- (405) 636-1673
- NPI assigned
- Jul 15, 2005
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | R0026857 | OK | Primary |
Addresses
Primary practice location
4720 S Western Ave
Oklahoma City, OK 73109-3834
Mailing address
4720 S Western Ave
Oklahoma City, OK 73109-3834
Phone (405) 634-5529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0026857 | Other | OK | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0026857 | OK | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962401653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093834",
"telephone_number": "405-634-5529",
"fax_number": "405-636-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093834",
"telephone_number": "405-634-5529",
"fax_number": "405-636-1673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECRIST",
"first_name": "MARY ANNE",
"name_prefix": "Ms.",
"credential": "MS, RN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "OK",
"license": "R0026857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "R0026857",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- Second Act Counseling, Coaching and Consulting, LLC
- Second Wind Recovery and Support Services PLLC
- Megan Marie Secrest, MSW, LCSW
- Secret of the Heart Transitional Living
- Lauren Michelle Secrist, DNP, APRN, PMHNP-BC
- Madeline Jessop Sedgwick
- Evelyn Sedivy, CRNA
- Courtney Brooke See Elizondo, M.ED., LPC
- Kaehukaionakoolau Jazlyn See
- Kaitlin Ashley Seeley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.