Individual provider Active NPI

Natalie Patterson, DO

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1154859189
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6470 Issued in OK
Practice address
114 N Jefferson Ave
Elk City, OK 73644-4746
Phone
(405) 578-5400
Fax
(877) 728-4556
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6470 OK Primary

Addresses

Primary practice location

114 N Jefferson Ave
Elk City, OK 73644-4746

Mailing address

1900 W 2ND St Ste D
Elk City, OK 73644-4328
Phone (580) 339-8089

Other practice location 1

5404 SW Lee Blvd
Lawton, OK 73505-9695
Phone (580) 355-5242

Other identifiers 2

IdentifierTypeStateIssuer
200861670AMedicaidOK
2C4814OtherOKOK MEDICARE

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001858 OK Practitioner - Family PracticePractitioner - General PracticePractitioner - Obstetrics/Gynecology 2062830979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6470OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1154859189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 2ND ST STE D",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444328",
            "telephone_number": "580-339-8089",
            "fax_number": "877-592-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N JEFFERSON AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444746",
            "telephone_number": "405-578-5400",
            "fax_number": "877-728-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5404 SW Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735059695",
            "country_code": "US",
            "telephone_number": "580-355-5242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200861670A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICARE",
            "identifier": "2C4814",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.