NPIMap

Individual provider Active NPI

Heather Rupp, APRN

  • Family Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1417785049
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219544 Issued in OK
Practice address
5606 SW Lee Blvd Ste 302
Lawton, OK 73505-9618
Phone
(580) 531-6470
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 219544 OK Primary

Addresses

Primary practice location

5606 SW Lee Blvd Ste 302
Lawton, OK 73505-9618

Mailing address

5606 SW Lee Blvd Ste 302
Lawton, OK 73505-9618
Phone (580) 531-6470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828003984 OK Practitioner - Nurse Practitioner 6507305026 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians
Southwestern Surgical Affiliates, LLCGroup PAC ID 0941365308, 22 clinicians

Practice addresses (Care Compare)

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

2088 N Hwy 81
Xpress Wellness Urgent Care
Duncan, OK 73533-1416
Phone (580) 606-6201

3428 NW Cache Rd
Lawton, OK 73505-3846
Phone (580) 595-7207

5606 SW Lee Blvd
Suite 302
Lawton, OK 73505-9618
Phone (580) 531-6470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219544OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Aug 14, 2024 Accepting new patients
Southwestern Surgical Affiliates, LLC CurrentSince Feb 1, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 14, 2024 Accepting new patients
Medical Resource Management, LLC CurrentSince Dec 15, 2025 Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Comanche County Healthcare Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

1120 N Highway 81
Duncan, OK 73533
Phone (580) 536-9355

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

5606 SW Lee Blvd
Ste 302
Lawton, OK 73505
Phone (580) 531-4750

5606 SW Lee Blvd
Ste 303
Lawton, OK 73505
Phone (580) 531-6455

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2501 N 14th St
Ponca City, OK 74601
Phone (580) 749-5076

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: heather.rupp.1@1821.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 9

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 3

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1417785049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD STE 302",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059618",
            "telephone_number": "580-531-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD STE 302",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059618",
            "telephone_number": "580-531-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "219544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.