PROVIDENCE FAMILY PRACTICE, PLLC
NPI 1215185491
Nurse Practitioner - Family in Oklahoma City, OK

Active since August 31, 2008CLIA 37D1090196 · Waiver
1016 SW 44TH ST STE 400, OKLAHOMA CITY, OK 73109(405) 702-9050 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Family Practice, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE FAMILY PRACTICE, PLLC (NPI 1215185491) is a healthcare organization registered as a family in Oklahoma City, Oklahoma and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Christiana Enanga Williams, Arnp-c, as its authorized official.

NPPES Registry Identity

NPI1215185491
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePROVIDENCE FAMILY PRACTICE, PLLC
Location Address1016 SW 44TH ST STE 400Oklahoma City, OK 73109-3617
Mailing Address1016 Sw 44th St Ste 400Oklahoma City, OK 73109-3617 · (405) 702-9050
Organization SubpartNo
Authorized OfficialChristiana Enanga WilliamsArnp-c · (405) 816-0053
Enumeration DateAugust 31, 2008
Last NPPES UpdateJune 24, 2009
NPI 1215185491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · R0058523
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License R0058523 (OK)
1016 SW 44TH ST STE 400, Oklahoma City, OK 73109

Other Identifiers 1

Medicaid200087300AOK

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1090196

Providence Family Practice, PLLC · Oklahoma City, OK
Active · expires Oct 5, 2026
CLIA Number37D1090196
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorChristiana E. Williams
Laboratory Phone(405) 816-0053
Laboratory LocationProvidence Family Practice, PLLC1024 SW 44th, Ste 800, Oklahoma City, OK 73109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
1016 SW 44TH ST STE 400
OKLAHOMA CITY, OK 73109
Occupational Therapy Assistant
1016 SW 44TH ST STE 400
OKLAHOMA CITY, OK 73109
Speech-Language Pathologist
1016 SW 44TH ST STE 400
OKLAHOMA CITY, OK 73109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Family Practice, PLLC's NPI number?

The NPI number for Providence Family Practice, PLLC is 1215185491. It was assigned to this organization in the NPPES registry on August 31, 2008.

Where is Providence Family Practice, PLLC located?

Providence Family Practice, PLLC is located at 1016 SW 44th St Ste 400, Oklahoma City, OK 73109. The listed phone number is (405) 702-9050.

What is Providence Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Providence Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1090196) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Providence Family Practice, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Providence Family Practice, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Family Practice, PLLC was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.