RESTORE FAMILY MEDICAL CLINIC
NPI 1528545472
Nurse Practitioner - Family in Antlers, OK

Active since July 24, 2018CLIA 37D2151033 · Waiver
416020 E 1951 RD, ANTLERS, OK 74523(580) 982-6044 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Nov 21, 2025, Jul 24, 2018 (3 updates tracked since 2018).

About Restore Family Medical Clinic NPPES

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

RESTORE FAMILY MEDICAL CLINIC (NPI 1528545472) is a healthcare organization registered as a family in Antlers, Oklahoma and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Terry Jean Draper, President, as its authorized official.

NPPES Registry Identity

NPI1528545472
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRESTORE FAMILY MEDICAL CLINIC
Location Address416020 E 1951 RDAntlers, OK 74523
Mailing Address416020 E 1951 RdAntlers, OK 74523-7445 · (580) 982-6044
Organization SubpartNo
Authorized OfficialTerry Jean DraperPresident · (580) 982-6044
Enumeration DateJuly 24, 2018
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
NPI 1528545472 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
416020 E 1951 RD, Antlers, OK 74523

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

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 37D2151033

Restore Family Medical Clinic · Antlers, OK
Active · expires Jul 9, 2028
CLIA Number37D2151033
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorCory D. Smith
Laboratory Phone(580) 298-9063
Laboratory LocationRestore Family Medical Clinic416020 E 1951 Rd, Antlers, OK 74523
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
416020 E 1951 RD
ANTLERS, OK 74523

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 Restore Family Medical Clinic's NPI number?

The NPI number for Restore Family Medical Clinic is 1528545472. It was assigned to this organization in the NPPES registry on July 24, 2018.

Where is Restore Family Medical Clinic located?

Restore Family Medical Clinic is located at 416020 E 1951 Rd, Antlers, OK 74523. The listed phone number is (580) 982-6044.

What is Restore Family Medical Clinic's specialty?

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

Does Restore Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2151033) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Restore Family Medical Clinic was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.