Individual provider Active NPI

Johnny Edward Patterson Jr., APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Norman, OK
National Provider Identifier
1336550508
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
226340 Issued in OK
Practice address
15951 Little Axe Dr
Norman, OK 73026-9088
Phone
(405) 447-0300
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP013760 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 226340 OK Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000126 DE

Addresses

Primary practice location

15951 Little Axe Dr
Norman, OK 73026-9088

Mailing address

15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300

Other practice location 1

2029 Gordon Cooper Dr
Shawnee, OK 74801-9005
Phone (405) 878-5850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160831002088 PA Practitioner - Nurse Practitioner 8628290145 Reassigns benefits to 1 organization
I20230322002243 CO Practitioner - Nurse Practitioner 8628290145 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0000126DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven Psychiatry Current Accepting new patients
Serenity TMS Centers LLC Psychiatry CurrentSince Feb 14, 2025 Accepting new patients
Philhaven CurrentSince Jul 11, 2016 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

6071 E Woodmen Rd
Ste 135
Colorado Springs, CO 80923
Phone (719) 212-2108

6071 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 212-2108

425 S Cherry St
Fl 10
Glendale, CO 80246
Phone (720) 307-6670

255 S Routt St
Ste 250
Lakewood, CO 80228
Phone (720) 712-0300

2695 Rocky Mountain Ave
Ste 350
Loveland, CO 80538

2695 Rocky Mountain Ave
Ste 260
Loveland, CO 80538

9399 Crown Crest Blvd
Ste 401
Parker, CO 80138
Phone (720) 274-2544

500 Discovery Pkwy
Ste 250
Superior, CO 80027
Phone (720) 302-1505

500 Discovery Pkwy
Ste 350
Superior, CO 80027

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1336550508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-447-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-447-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 Gordon Cooper Dr",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748019005",
            "country_code": "US",
            "telephone_number": "405-878-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JOHNNY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP013760",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "226340",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.