Individual provider Active NPI

Elizabeth Louise Rouse, ARNP

  • Nurse Practitioner
  • Midwest City, OK
National Provider Identifier
1407805245
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95370 Issued in OK
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BC5T024OtherOKBLUE CROSS
1649201286OtherARGROUP NPI
200264120AMedicaidOK
1144307554OtherOKGROUP NPI
129607758MedicaidAR

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

LicenseStateTypeSpecialty
A01060ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.