Active NPI
Elizabeth Louise Rouse, ARNP
- Nurse Practitioner
- Midwest City, OK
National Provider Identifier
1407805245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95370
- Practice address
- 6520 E Reno Ave
Ste B
Midwest City, OK 73110 - Phone
- (405) 733-0120
- Fax
- (405) 733-7877
- NPI assigned
- May 9, 2006
- Last updated
- Aug 5, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95370 | OK | Primary |
| Family Medicine Physician | 207Q00000X | A01060 | AR |
Addresses
Primary practice location
6520 E Reno Ave
Ste B
Midwest City, OK 73110
Mailing address
6520 E Reno Ave
Ste B
Midwest City, OK 73110-2119
Phone (405) 733-0120
Other practice location 1
351 N. Air Depot
Suite BB
Midwest City, OK 73110
Phone (405) 610-3600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BC5T024 | Other | OK | BLUE CROSS |
| 1649201286 | Other | AR | GROUP NPI |
| 200264120A | Medicaid | OK | |
| 1144307554 | Other | OK | GROUP NPI |
| 129607758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01060 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectra Mental Health | Past | Accepting new patients | |
| Midway Medical Clinic | Family Medicine | Past | Accepting new patients |
| Cabot Healthcare Center, LLC | Family Medicine | Past | Accepting new patients |
| Dr B. E. Holmes PA | Family Medicine | Past | Accepting new patients |
| White County Medical Center | Past | Accepting new patients | |
| A Plus Urgent Care | Family Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1528304060
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1144307554
-
- Counselor
- Midwest City, OK
- NPI 1073932976
-
dba Northside Healthcare, Quitman Healthcare, Quitman Healthcare
- Family Medicine Physician
- Austin, AR
- NPI 1255399424
-
- Family Medicine Physician
- Lonoke, AR
- NPI 1336353457
-
dba McAfee Medical Clinic
- Primary Care Clinic/Center
- Beebe, AR
- NPI 1497174858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1407805245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 E RENO AVE",
"address_2": "STE B",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731102119",
"telephone_number": "405-733-0120",
"fax_number": "405-733-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 E RENO AVE",
"address_2": "STE B",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "73110",
"telephone_number": "405-733-0120",
"fax_number": "405-733-7877"
}
],
"practiceLocations": [
{
"address_1": "351 N. Air Depot",
"address_2": "Suite BB",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "73110",
"country_code": "US",
"telephone_number": "405-610-3600",
"fax_number": "405-610-3607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUSE",
"first_name": "ELIZABETH",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "95370",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "A01060",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "BC5T024",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1649201286",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200264120A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1144307554",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129607758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.