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DESTINY URGENT AND PRIMARY CARE CLINIC. LLC NPI 1437738804


NPI Information

NPI: 1437738804
Provider Name: DESTINY URGENT AND PRIMARY CARE CLINIC. LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
1818 N HIGHWAY 66 STE B
CATOOSA, OK
ZIP 74015
Phone: (417) 317-3388
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DESTINY URGENT AND PRIMARY CARE CLINIC. LLC is a nurse practitioner in Catoosa, OK. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DESTINY URGENT AND PRIMARY CARE CLINIC. LLC NPI is 1437738804. The provider is registered as an organization entity type.

The provider's business location address is:

1818 N HIGHWAY 66 STE B
CATOOSA, OK
ZIP 74015-052
Phone: (417) 317-3388

The provider's authorized official is Ernest Kaara Maina .
The authorized official title is Owner/provider and has the following contact phone number (417) 317-3388.

The enumeration date for this NPI number is 4/5/2021 and was last updated on 4/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QP2300XClinic/CenterPrimary CareNo
4261QU0200XClinic/CenterUrgent CareNo
5363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11740751445OTHEROKLAHOMANPI#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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