STEPHANIE ANN DURHAM AGNP-C NPI 1306356183

NPI Information

  • NPI: 1306356183
  • Provider Name: STEPHANIE ANN DURHAM, AGNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 119 W MAIN ST
    HOMINY, OK
    ZIP 74035
  • Phone: (918) 885-4640

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NPI Details

Stephanie Ann Durham, AGNP-C is an adult health nurse practitioner in Hominy, OK with 9 years of experience. Stephanie Ann Durham, AGNP-C NPI is 1306356183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

119 W MAIN ST
HOMINY, OK
ZIP 74035-031
Phone: (918) 885-4640
Fax: (918) 885-4644

The NPI 1306356183 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/28/2023.

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
1363LA2200XNurse PractitionerAdult HealthAG08170142OKLAHOMANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthR0064988OKLAHOMANo
3363LA2200XNurse PractitionerAdult Health64988OKLAHOMAYes

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

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