Emily Bates, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Moore, OK

NPI 1053276642 · NPPES record last updated Dec 17, 2025

Key facts

NPI
1053276642
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
213335 (OK)
Practice address
1113 SW 30TH CT Ste B
Moore, OK 73160-2887
Phone
(405) 676-8470
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
213335OKMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 213335 OK Yes

Addresses

Primary practice location

1113 SW 30TH CT Ste B
Moore, OK 73160-2887

Mailing address

488 SE 7TH PL
Newcastle, OK 73065-5164

Other providers in Moore, OK

All providers in Moore, OK · Psychiatric/Mental Health Registered Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.