Individual provider Active NPI

Natalie R Stuart, MSW

  • Social Worker
  • Idabel, OK
National Provider Identifier
1154088599
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7293 Issued in OK
Practice address
411 S Central Ave
Idabel, OK 74745-6059
Phone
(580) 286-7876
Fax
(580) 286-5721
NPI assigned
Nov 19, 2021
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7293 OK Primary

Addresses

Primary practice location

411 S Central Ave
Idabel, OK 74745-6059

Mailing address

PO Box 1030
Antlers, OK 74523-1030
Phone (580) 298-2830

Other practice location 1

2816 E Jackson St Ste C
Hugo, OK 74743-4250
Phone (580) 286-7876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125004403 OK Practitioner - Clinical Social Worker 6002341229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7293OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Heights Oklahoma, LLC CurrentSince Oct 21, 2024 Accepting new patients
Brighter Heights Oklahoma, LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

107 S High St
Antlers, OK 74523
Phone (580) 298-2830

2816 E Jackson St
Ste C
Hugo, OK 74743
Phone (580) 326-5320

411 S Central Ave
Idabel, OK 74745
Phone (580) 286-5045

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1154088599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745231030",
            "telephone_number": "580-298-2830",
            "fax_number": "580-298-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S CENTRAL AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456059",
            "telephone_number": "580-286-7876",
            "fax_number": "580-286-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2816 E Jackson St Ste C",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "OK",
            "postal_code": "747434250",
            "country_code": "US",
            "telephone_number": "580-286-7876",
            "fax_number": "580-286-5721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "NATALIE",
        "middle_name": "R",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "7293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

Verify at the official NPI Registry.