Individual provider Active NPI

Joshua Norman, APRN, CNP

  • Family Nurse Practitioner
  • Stillwater, OK
National Provider Identifier
1235625807
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0110813 Issued in OK
Practice address
1815 W 6TH Ave
Stillwater, OK 74074
Phone
(405) 743-7300
NPI assigned
Jul 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0110813 OK Primary

Addresses

Primary practice location

1815 W 6TH Ave
Stillwater, OK 74074

Mailing address

923 S Howerton PL
Cushing, OK 74023-4627

Other practice location 1

300 N Denver Ave
Tulsa, OK 74103-1420
Phone (918) 596-8900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226000601 OK Practitioner - Nurse Practitioner 1355680935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0110813OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority Family CurrentSince Jan 6, 2019 Accepting new patients
Stillwater Medical Center Authority CurrentSince Jan 6, 2019 Accepting new patients

Locations

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1815 W 6th Ave
Stillwater, OK 74074
Phone (405) 743-7300

Interoperability endpoints

  • Direct secure messaging: joshua.norman.p1@direct.smc.nextgenshare.com
  • Direct secure messaging: joshua.norman.1@21352.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1235625807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 S HOWERTON PL",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-743-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Denver Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741031420",
            "country_code": "US",
            "telephone_number": "918-596-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "JOSHUA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0110813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.