Active NPI
Myna Ruth Laughlin, ARNP
- Family Nurse Practitioner
- Durant, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 45593
- Practice address
- 1705 N Washington Ave Ste C
Durant, OK 74701-2100 - Phone
- (580) 924-5439
- Fax
- (580) 366-5439
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 7, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 530454 | TX | |
| Family Nurse Practitioner | 363LF0000X | 45593 | OK | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | RR0045593 | OK |
Addresses
Primary practice location
1705 N Washington Ave Ste C
Durant, OK 74701-2100
Mailing address
135 Brandi LN
Durant, OK 74701-7404
Phone (580) 920-8504
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0045593 | Other | OK | OK NURSING LICENSE |
| 200101720A | Medicaid | OK | |
| 530454 | Other | TX | TEXAS LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1705 N Washington Ave
Suite C
Durant, OK 74701-2100
Phone (580) 924-5439
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RR0045593 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Pediatrics, PLLC | Family | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Durant Hma LLC | Past | Accepting new patients | |
| Uhs of Texoma, Inc | Past | Accepting new patients |
Locations
1705 N Washington Ave
Ste C
Durant, OK 74701
Phone (580) 920-8062
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.
-
dba Southeastern Pediatrics and Family Practice
- Family Nurse Practitioner
- Durant, OK
- NPI 1477210516
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
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": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1366515389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 BRANDI LN",
"city": "DURANT",
"state": "OK",
"postal_code": "747017404",
"telephone_number": "580-920-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 N WASHINGTON AVE STE C",
"city": "DURANT",
"state": "OK",
"postal_code": "747012100",
"telephone_number": "580-924-5439",
"fax_number": "580-366-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUGHLIN",
"first_name": "MYNA",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "530454",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "45593",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "RR0045593",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK NURSING LICENSE",
"identifier": "R0045593",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200101720A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE",
"identifier": "530454",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.