Robin Antosh, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Norman, OK
NPI 1285293175 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1285293175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 106506 (OK)
- Practice address
- 3440 RC Luttrell Dr Ste 200
Norman, OK 73072-9005 - Phone
- (405) 307-1000
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827000543 | OK | Practitioner - Nurse Practitioner | 1153659354 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106506 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Daphne Lashbrook, M.D., P.C. | Current |
Accepting new patients | |
| Norman Regional Providers Specialty Care | Current |
Accepting new patients |
Locations
500 E Robinson St
Ste 2400
Norman, OK 73071
Phone (405) 360-1264
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
3440 Rc Luttrell Dr
Ste 200
Norman, OK 73072
Phone (405) 360-1264
1200 Childrens Ave
Ste 1A
Oklahoma City, OK 73104
Phone (405) 271-4665
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429
Interoperability endpoints
- robin.antosh@nrh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 106506 | OK | Yes |
Addresses
Primary practice location
3440 RC Luttrell Dr Ste 200
Norman, OK 73072-9005
Mailing address
PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-1000
NPI Registry JSON
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1285293175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701330",
"telephone_number": "405-307-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 RC LUTTRELL DR STE 200",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729005",
"telephone_number": "405-307-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOSH",
"first_name": "ROBIN",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "106506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
- Sara Angulo-Gonzalez
- Ankle & Foot Clinic of Oklahoma Inc
- Anna Beckham LLC
- Anna Kjose, PHD, PLLC
- Anna M Campion PLLC
- Areebah M Anwar
- Muhammad Anwar
- Zachrey Douglas Aplin
- Brandalyn Kaye Apple
- Michelle Applebaum
All providers in Norman, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.