Active NPI
Teresa Diane Loftin, M.D.
- Family Medicine Physician
- Edmond, OK
National Provider Identifier
1306872445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22820
- Practice address
- 3209 S Broadway Ste 229
Edmond, OK 73013-4064 - Phone
- (551) 295-8223
- NPI assigned
- Jun 23, 2006
- Last updated
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50184 | CO | |
| Family Medicine Physician | 207Q00000X | 22820 | OK | Primary |
Addresses
Primary practice location
3209 S Broadway Ste 229
Edmond, OK 73013-4064
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 350-4606
Other practice location 1
1010 A St
Greeley, CO 80631-2021
Phone (970) 313-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306872445 | Other | CO | NPI |
| 23585871 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50184 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swan Mountain Women's Center, PC | Current | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Loftin Family Practice | Past | Accepting new patients | |
| Tracey W. Childers, D.O. P.C. | Past | Accepting new patients |
Locations
16172 Highway 9
Breckenridge, CO 80424
Phone (970) 423-8840
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Tahlequah, OK
- NPI 1295920734
-
- Obstetrics & Gynecology Physician
- Buena Vista, CO
- NPI 1477149615
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
dba Childers Medical Group
- Otolaryngology Physician
- Tahlequah, OK
- NPI 1720274699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1306872445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-350-4606",
"fax_number": "970-350-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 S BROADWAY STE 229",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134064",
"telephone_number": "551-295-8223"
}
],
"practiceLocations": [
{
"address_1": "1010 A St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806312021",
"country_code": "US",
"telephone_number": "970-313-0400",
"fax_number": "970-313-0404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOFTIN",
"first_name": "TERESA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "50184",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "22820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1306872445",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23585871",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.