Active NPI
Rexanne Proctor, RN
- Registered Nurse
- Oklahoma City, OK
National Provider Identifier
1194916940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R0064001
- Practice address
- 2129 SW 59TH Street
St Anthony South
Oklahoma City, OK 73119 - Phone
- (405) 713-5913
- Fax
- (405) 680-4151
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0064001 | OK | Primary |
Addresses
Primary practice location
2129 SW 59TH Street
St Anthony South
Oklahoma City, OK 73119
Mailing address
4200 N Sterling Ave
Oklahoma City, OK 73122
Phone (405) 787-7583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0064001 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1194916940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 N STERLING AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73122",
"telephone_number": "405-787-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 SW 59TH STREET",
"address_2": "ST ANTHONY SOUTH",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73119",
"telephone_number": "405-713-5913",
"fax_number": "405-680-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "REXANNE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0064001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.