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CROSSROADS FAMILY HEALTH, LLC
NPI 1366196560
Nurse Practitioner - Family in Ardmore, OK

Active since February 07, 2022
333 W MAIN ST STE 245, ARDMORE, OK 73401(580) 618-5686(949) 798-7827 Get Directions Write a Review

NPPES record last updated: November 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2023, Feb 7, 2022 (2 updates tracked since 2022).

About Crossroads Family Health, Llc NPPES

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

CROSSROADS FAMILY HEALTH, LLC (NPI 1366196560) is a healthcare organization registered as a family in Ardmore, Oklahoma and active in the NPI registry since February 2022. The organization lists Jessi Runyan, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1366196560
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCROSSROADS FAMILY HEALTH, LLC
Location Address333 W MAIN ST STE 245Ardmore, OK 73401-6300
Mailing Address333 W Main St Ste 245Ardmore, OK 73401-6300 · (580) 618-5686 · Fax (949) 798-7827
Phone(580) 618-5686
Fax(949) 798-7827
Organization SubpartNo
Authorized OfficialJessi RunyanOwner/provider · (580) 618-5686
Enumeration DateFebruary 7, 2022
Last NPPES UpdateNovember 19, 20232 updates tracked since enumeration
NPPES CertifiedNovember 19, 2023
✔ NPI 1366196560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
333 W MAIN ST STE 245, Ardmore, OK 73401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

HEALWELL OF SOUTHERN OKLAHOMA
Clinic/Center
333 W MAIN ST STE 245
ARDMORE, OK 73401
Carter County (405) 492-7229

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 Crossroads Family Health, LLC's NPI number?

The NPI number for Crossroads Family Health, LLC is 1366196560. It was assigned to this organization in the NPPES registry on February 7, 2022.

Where is Crossroads Family Health, LLC located?

Crossroads Family Health, LLC is located at 333 W Main St Ste 245, Ardmore, OK 73401. The listed phone number is (580) 618-5686.

What is Crossroads Family Health, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Crossroads Family Health, LLC was last updated on November 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.