Individual provider Active NPI

Lauren Roberts, APRN, FNP-C

  • Family Nurse Practitioner
  • Idabel, OK
National Provider Identifier
1477093557
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0132066 Issued in OK
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A005084OtherARCNP LICENSE
R0132066OtherOKNURSING 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200508000064 OK Practitioner - Nurse Practitioner 1153750492 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
R0132066OKMDFamily Nurse Practitioner
A005084ARMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Healing Family Clinic PLLC Family CurrentSince Apr 23, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.