IndividualActive
Larry Church
NPI 1285501783 · Registered Nurse · Prague, OK
Provider details
- NPI number
- 1285501783
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R0027933 (OK)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
57523 Moccasin Trail Rd
Prague, OK 74864-1143
Phone: (405) 567-0054
Fax: (405) 567-0055
Street-level locationGet directions
Mailing address
57523 Moccasin Trail Rd
Prague, OK 74864-1143
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2025-10-24
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.