Individual provider Active NPI

Ryan Eric Pitt, FNP-BC

  • Nurse Practitioner
  • Norman, OK
National Provider Identifier
1245654946
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132127 Issued in TX
Practice address
901 N Porter Ave
Norman, OK 73071-6404
Phone
(405) 307-1500
Fax
(405) 307-1504
NPI assigned
Feb 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 85882 OK
Family Nurse Practitioner 363LF0000X 85882 OK
Nurse Practitioner 363L00000X AP132127 TX Primary

Addresses

Primary practice location

901 N Porter Ave
Norman, OK 73071-6404

Mailing address

2900 S Telephone Rd
Suite 250
Moore, OK 73160-2936
Phone (405) 488-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140522001628 OK Practitioner - Nurse Practitioner 6800019647 Reassigns benefits to 4 organizations
I20191114000409 TX Practitioner - Nurse Practitioner 6800019647 Reassigns benefits to 1 organization
I20210517000752 CO Practitioner - Nurse Practitioner 6800019647 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85882OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Emergency Services PC Nurse Practitioner CurrentSince Oct 1, 2016 Accepting new patients
Emergency Professionals of Colorado, PC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
South Central Emergency Services PC Nurse Practitioner CurrentSince Oct 1, 2014 Accepting new patients
Emergency Physicians of Mid-America, P.C. Nurse Practitioner CurrentSince Mar 20, 2015 Accepting new patients
Emergency Services of Oklahoma PC Nurse Practitioner CurrentSince Mar 1, 2014 Accepting new patients
Emergency Professionals of Colorado, PC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Bedford Cardiology, P.C. Past Accepting new patients

Locations

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Organizations & group practices 8

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": "1392422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1245654946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD",
            "address_2": "SUITE 250",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602936",
            "telephone_number": "405-488-0750",
            "fax_number": "405-488-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404",
            "telephone_number": "405-307-1500",
            "fax_number": "405-307-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "RYAN",
        "middle_name": "ERIC",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-15",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "85882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "85882",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.