JOERESTY TABUJARA ABELIDA AGACNP NPI 1053943217

NPI Information

NPI: 1053943217
Provider Name: JOERESTY TABUJARA ABELIDA, AGACNP
Classification: Nurse Practitioner - 363LC0200X
Specialization: Critical Care Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 825 NE 10TH ST STE 5B
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-3635

Map and Directions

Get Directions

NPI Details

Joeresty Tabujara Abelida, AGACNP is a critical care medicine nurse practitioner in Oklahoma City, OK with 7 years of experience. Joeresty Tabujara Abelida, AGACNP NPI is 1053943217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

825 NE 10TH ST STE 5B
OKLAHOMA CITY, OK
ZIP 73104-417
Phone: (405) 271-3635
Fax: (405) 271-2523

The NPI 1053943217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2020 and was last updated on 10/27/2025.

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
1	363LA2100X	Nurse Practitioner	Acute Care	AP144916	ARIZONA	No
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	AP144916	TEXAS	No
3	363LA2100X	Nurse Practitioner	Acute Care	26046	SOUTH CAROLINA	No
4	363LC0200X	Nurse Practitioner	Critical Care Medicine	200190	OKLAHOMA	Yes

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
1	AP144916	OTHER	TEXAS	TEXAS BOARD OF NURSING

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI