Individual provider Active NPI

Stephanie M Rosekelly, CNM, APN

  • Advanced Practice Midwife
  • Duncan, OK
National Provider Identifier
1427338102
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R0135299 Issued in OK
Practice address
4086 Country Club Rd Ste 2
Duncan, OK 73533-5580
Phone
(580) 609-0105
Fax
(214) 617-0352
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R0135299 OK Primary

Addresses

Primary practice location

4086 Country Club Rd Ste 2
Duncan, OK 73533-5580

Mailing address

4086 Country Club Rd Ste 2
Duncan, OK 73533-5580
Phone (847) 989-9124

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)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R0135299OKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Fruitful Oaks Birthing Center LLC PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1427338102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4086 COUNTRY CLUB RD STE 2",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735335580",
            "telephone_number": "847-989-9124",
            "fax_number": "214-617-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4086 COUNTRY CLUB RD STE 2",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735335580",
            "telephone_number": "580-609-0105",
            "fax_number": "214-617-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEKELLY",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "CNM, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OK",
            "license": "R0135299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.