Individual provider Active NPI

Roy Slootheer, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1356892921
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0116739 Issued in OK
Practice address
701 SW 119TH St
Oklahoma City, OK 73170-6067
Phone
(405) 735-3135
Fax
(405) 676-9204
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0116739 OK Primary

Addresses

Primary practice location

701 SW 119TH St
Oklahoma City, OK 73170-6067

Mailing address

701 SW 119TH St
Oklahoma City, OK 73170-6067
Phone (405) 201-1333

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
I20170127002353 OK Practitioner - Nurse Practitioner 5799067617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Healthcare, Aprn-CNP, PCGroup PAC ID 7315362266, 3 clinicians

Practice addresses (Care Compare)

701 SW
119TH
Oklahoma City, OK 73170
Phone (405) 735-3135

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0116739OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Apr 1, 2017 Accepting new patients
Premier Healthcare, Aprn-CNP, PC CurrentSince Nov 1, 2020 Accepting new patients
Advance Physicians Group CurrentSince Apr 24, 2018 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Apr 1, 2017 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207

701 SW 19th St
Moore, OK 73160

12208 S Western Ave
Ste B
Oklahoma City, OK 73170
Phone (405) 735-3135

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

701 SW 119th St
Oklahoma City, OK 73170
Phone (405) 735-3135

12208 S Western Ave
Oklahoma City, OK 73170
Phone (405) 692-5551

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 1

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1356892921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SW 119TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706067",
            "telephone_number": "405-201-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SW 119TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706067",
            "telephone_number": "405-735-3135",
            "fax_number": "405-676-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOOTHEER",
        "first_name": "ROY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0116739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.