Individual provider Active NPI

Rhonda Tootill, FNP

  • Critical Care Pediatric Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1447677281
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
R0069798 Issued in OK
Practice address
3505 W Broadway St
Muskogee, OK 74401-2138
Phone
(918) 683-8442
Fax
(918) 683-8390
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X R0069798 OK Primary

Addresses

Primary practice location

3505 W Broadway St
Muskogee, OK 74401-2138

Mailing address

3505 W Broadway St
Muskogee, OK 74401-2138
Phone (918) 683-8442

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
I20200617002786 OK Practitioner - Nurse Practitioner 2264854322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskogee Pediatrics and Family Health Solutions, LLCGroup PAC ID 7719309970, 2 clinicians

Practice addresses (Care Compare)

3505 W Broadway St
Muskogee, OK 74401-2138
Phone (918) 683-8442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0069798OKMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskogee Pediatrics and Family Health Solutions, LLC CurrentSince Aug 21, 2019 Accepting new patients
Wade Pediatrics PC PastSince Apr 29, 2020 Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients

Locations

3505 W Broadway St
Muskogee, OK 74401
Phone (918) 683-8442

Organizations & group practices 3

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1447677281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012138",
            "telephone_number": "918-683-8442",
            "fax_number": "918-683-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012138",
            "telephone_number": "918-683-8442",
            "fax_number": "918-683-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTILL",
        "first_name": "RHONDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "OK",
            "license": "R0069798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.