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THACKERVILLE MEDICAL CLINIC
NPI 1518282185
Nurse Practitioner - Family in Thackerville, OK

Active since April 07, 2010
11530 RIDGE RD STE 1, THACKERVILLE, OK 73459(580) 276-9066(580) 276-9063 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thackerville Medical Clinic NPPES

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

THACKERVILLE MEDICAL CLINIC (NPI 1518282185) is a healthcare organization registered as a family in Thackerville, Oklahoma and active in the NPI registry since April 2010. The organization lists Dana Carol Sprott, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1518282185
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHACKERVILLE MEDICAL CLINIC
Location Address11530 RIDGE RD STE 1Thackerville, OK 73459-9771
Mailing Address11530 Ridge Rd Ste 1Thackerville, OK 73459-9771 · (580) 276-9066 · Fax (580) 276-9063
Phone(580) 276-9066
Fax(580) 276-9063
Organization SubpartNo
Authorized OfficialDana Carol SprottNurse Practitioner/owner · (940) 366-0180
Enumeration DateApril 7, 2010
Last NPPES UpdateApril 12, 2012
✔ NPI 1518282185 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
License✔ Licensed in OK · R0096598
11530 RIDGE RD STE 1, Thackerville, OK 73459
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Other Identifiers 3

Medicare PIN80F834TX
Medicare PIN8B6412TX
Medicare PIN8J2882TX

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 2

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

RED RIVER VALLEY HEALTH PLLC
Nurse Practitioner (Family)
11530 RIDGE RD STE 1
THACKERVILLE, OK 73459
Love County (580) 276-9066
THACKERVILLE PHARMACY
Pharmacy (Community/Retail Pharmacy)
11530 RIDGE RD STE 1
THACKERVILLE, OK 73459
Love County (580) 276-5161

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 Thackerville Medical Clinic's NPI number?

The NPI number for Thackerville Medical Clinic is 1518282185. It was assigned to this organization in the NPPES registry on April 7, 2010.

Where is Thackerville Medical Clinic located?

Thackerville Medical Clinic is located at 11530 Ridge Rd Ste 1, Thackerville, OK 73459. The listed phone number is (580) 276-9066.

What is Thackerville Medical Clinic'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 Thackerville Medical Clinic was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.