Amanda Thacker, RN is a
Registered Nurse - General Practice based in Noble, Oklahoma. Amanda Thacker is licensed to practice in Oklahoma (license number 215188) and her current practice location is
211 S Main St, Noble, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 437-1630.
NPI number for Amanda Thacker is 1225962814 and her current mailing address is 2824 Classen Blvd, Norman, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225962814.
Provider's Profile
| Full Name | Amanda Thacker |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - General Practice |
|---|
| Location | 211 S Main St, Noble, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225962814
- Provider Enumeration Date: 06/10/2026
- Last Update Date: 06/10/2026
Medical Identifiers
Medical identifiers for Amanda Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225962814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WG0000X | Registered Nurse - General Practice | 215188 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Thacker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amanda Thacker, RN 2824 Classen Blvd, Norman, OK 73071-4059 Ph: (405) 437-1630 | Amanda Thacker, RN 211 S Main St, Noble, OK 73068-9623 Ph: (405) 437-1630 |
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