Individual provider Active NPI

Renee A Weatherford, APRN

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1417317140
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
72461 Issued in OK
Practice address
317 E Himes St
Norman, OK 73069-7810
Phone
(405) 632-6688
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 72461 OK Primary

Addresses

Primary practice location

317 E Himes St
Norman, OK 73069-7810

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

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
I20170222001376 OK Practitioner - Nurse Practitioner 2668370024 Reassigns benefits to 2 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
Variety Care, Inc.Group PAC ID 1557260007, 101 clinicians

Practice addresses (Care Compare)

317 E Himes St
Norman, OK 73069-7810
Phone (405) 632-6688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.12 of 100Reported as group
Quality
64.14
Promoting interoperability
75
Improvement activities
40
Cost
70.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72461OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Arthritis Center, P.C. CurrentSince Sep 11, 2023 Accepting new patients
Variety Care, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Variety Care, Inc. Current Accepting new patients
Variety Care, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978

1237 Alameda St
Norman, OK 73071
Phone (405) 321-4511

317 E Himes St
Norman, OK 73069
Phone (405) 329-4161

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

Interoperability endpoints

  • Direct secure messaging: rweatherford745569@direct.ochin.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1417317140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688",
            "fax_number": "844-689-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E HIMES ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697810",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "RENEE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "72461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.