Riverstone Medical LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

RIVERSTONE MEDICAL LLC

Practice address

6910 E 111TH PL S
Bixby, OK 74008-2066

Phone

(918) 955-9026

NPI assigned

Sep 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Luiskutty, CCC-SLP

Title

Administrator

Phone

(918) 955-9026

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1114705340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 E 111TH PL S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082066",
            "telephone_number": "918-955-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 E 111TH PL S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082066",
            "telephone_number": "918-955-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "LUISKUTTY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-955-9026",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Ravenscroft
• Terry Justin Reavis, DDS
• Laura Reibenstein, PHARMD
• Amelia Danielle Rice
• Tiffany Richardson, RN
• Paige Lauren Rogers, DO
• Cathy Ross, MS CCC-SLP
• Roy Maddox DDS PC
• McKenna Ruff
• Kelly Marie Sample

• Nursing Facility/Intermediate Care Facility in Bixby, OK
• Providers in Bixby, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.