Individual provider Active NPI

Joseph Charles Rawdon, APRN-CNS

  • Critical Care Medicine Clinical Nurse Specialist
  • Shawnee, OK
National Provider Identifier
1295973725
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
R0077067 Issued in OK
Practice address
2810 N Kickapoo Ave
Shawnee, OK 74804-1798
Phone
(405) 585-0473
Fax
(405) 585-0495
NPI assigned
Jan 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X R0077067 OK Primary

Addresses

Primary practice location

2810 N Kickapoo Ave
Shawnee, OK 74804-1798

Mailing address

5 Del Rancho CT
Shawnee, OK 74804-3320
Phone (056) 136-2314

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
I20090805000791 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 7113070319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2810 N Kickapoo Ave
Shawnee, OK 74804-1798
Phone (405) 585-0473

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
R0077067OKMDCritical Care Medicine Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Health Services LLC CurrentSince Apr 1, 2022 Accepting new patients
The Physicians Group LLC CurrentSince Jan 27, 2018 Accepting new patients
R & Q Enterprises LLC CurrentSince Nov 9, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

6516 N Olie Ave
Ste G
Oklahoma City, OK 73116
Phone (405) 608-8060

2810 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 470-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEADDD/Endpoint/BEADDD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1295973725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DEL RANCHO CT",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043320",
            "telephone_number": "056-136-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041798",
            "telephone_number": "405-585-0473",
            "fax_number": "405-585-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWDON",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "OK",
            "license": "R0077067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.