Anna Nicole Rawdon, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77066 Issued in OK

Practice address

4409 N Kickapoo Ave Ste 121
Shawnee, OK 74804-1225

Phone

(405) 585-0475

Fax

(855) 685-0408

NPI assigned

Mar 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anna Nicole Quinn Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• NKR Enterprises, Aprn-CNP, PLLC

  • Family Nurse Practitioner
  • Shawnee, OK
  • NPI 1639602873
  Medicare reassignment NPD

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1225270705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 N KICKAPOO AVE STE 121",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041225",
            "telephone_number": "405-585-0475",
            "fax_number": "855-685-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 N KICKAPOO AVE STE 121",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041225",
            "telephone_number": "405-585-0475",
            "fax_number": "855-685-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWDON",
        "first_name": "ANNA",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R00770066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "77066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200236190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "QUINN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russel Aaron Ramsey
• Thelma Kay Ramsey, BS
• Burl Thomas Randall III
• Steven James Randolph, LCSW/ACSW
• Jasmine Galicia Rangel
• Joseph Charles Rawdon, APRN-CNS
• React Emergency Medical Service
• Redi-Care Clinic, P. C.
• Eric Lane Reding, MD
• Aubre Ann Reed, RN

• Family Nurse Practitioner in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.