Barome Enoweyere, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201364 Issued in OK

Practice address

1700 E 1St St
Granite, OK 73547-9317

Phone

(580) 480-3700

NPI assigned

Mar 22, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Physicians GroupGroup PAC ID 0244122083, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: barome.enoweyere.1@21577.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13010/brand/1/csg/1/fhir/r4

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.

• Advance Physicians Group

  dba First Med Urgent Care

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1750395448
  Medicare reassignment Care Compare group NPD
• Pathways Medical LLC

  • Primary Care Clinic/Center
  • Edmond, OK
  • NPI 1194185090
  Medicare reassignment NPD
• Pathways Professional Counseling LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1043392558
  NPD
• US Wound LLC

  • Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1710869862
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1992381982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 1ST ST",
            "city": "GRANITE",
            "state": "OK",
            "postal_code": "735479317",
            "telephone_number": "580-480-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 1ST ST",
            "city": "GRANITE",
            "state": "OK",
            "postal_code": "735479317",
            "telephone_number": "580-480-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12616 William Penn Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731203527",
            "country_code": "US",
            "telephone_number": "469-269-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENOWEYERE",
        "first_name": "BAROME",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Louis Albright, D.D.S.
• Robert L Bernard, P.A.
• Blackhawk Mangum, LLC
• Ashlee Brewer
• Tressa Brewer, M.S., CCC-SLP
• Granite Drug, Inc (Granite Drug Store)
• Greer County Independent School District #3 (Granite Public School)
• Murray Drug Co. LLC (Granite Drug Co.)
• Katherine Elizabeth Murray, PHARMD
• N Evans Einterprises LLC (Granite Family Medical Clinic)

• Family Nurse Practitioner in Granite, OK
• Providers in Granite, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.

Verify at the official NPI Registry.