Active NPI
Lauren Roberts, APRN, FNP-C
- Family Nurse Practitioner
- Idabel, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0132066
- Practice address
- 515 E Washington St
Idabel, OK 74745-3325 - Phone
- (580) 245-7004
- Fax
- (866) 531-9981
- NPI assigned
- Mar 8, 2017
- Last updated
- May 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0132066 | OK | Primary |
| Family Health Clinical Nurse Specialist | 364SF0001X | A005084 | AR |
Addresses
Primary practice location
515 E Washington St
Idabel, OK 74745-3325
Mailing address
515 E Washington St
Idabel, OK 74745-3325
Phone (580) 245-7004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A005084 | Other | AR | CNP LICENSE |
| R0132066 | Other | OK | NURSING BOARD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
515 E Washington St
Idabel, OK 74745-3325
Phone (580) 245-7004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0132066 | OK | MD | Family Nurse Practitioner |
| A005084 | AR | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Healing Family Clinic PLLC | Family | Current | Accepting new patients |
| Essent PRMC LP | Past | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Past | Accepting new patients |
Locations
515 E Washington St
Idabel, OK 74745
Phone (580) 245-7004
Interoperability endpoints
- lauren.roberts.1@33874.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Idabel, OK
- NPI 1215782354
-
dba McCurtain Memorial Hospital
- Critical Access Hospital
- Idabel, OK
- NPI 1063900975
-
dba Paris Regional Medical Center
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McCurtain Memorial Hospital
- Critical Access Hospital
- Idabel, OK
- NPI 1063900975
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
dba Paris Regional Medical Center
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1477093557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E WASHINGTON ST",
"city": "IDABEL",
"state": "OK",
"postal_code": "747453325",
"telephone_number": "580-245-7004",
"fax_number": "866-531-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E WASHINGTON ST",
"city": "IDABEL",
"state": "OK",
"postal_code": "747453325",
"telephone_number": "580-245-7004",
"fax_number": "866-531-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LAUREN",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0132066",
"primary": true
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "AR",
"license": "A005084",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNP LICENSE",
"identifier": "A005084",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING BOARD",
"identifier": "R0132066",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.