Southeastern Pediatrics, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SOUTHEASTERN PEDIATRICS, PLLC

Doing business as

Southeastern Pediatrics and Family Practice

Practice address

1706 Delivery LN
Durant, OK 74701-2292

Phone

(580) 924-5439

Fax

(580) 967-1002

NPI assigned

Nov 23, 2021

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Myna Laughlin, APRN-CNPNPI 1366515389

Title

Owner

Phone

(580) 924-5439

Specialties & licenses 4

Addresses

Other names 1

• Southeastern Pediatrics and Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myna Ruth Laughlin, ARNP

  • Family Nurse Practitioner
  • Durant, OK
  • NPI 1366515389
  Medicare reassignment NPD Authorized official
• David M Lovelace, DO

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1326087800
  Medicare reassignment NPD

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1477210516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 DELIVERY LN STE 200",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012292",
            "telephone_number": "580-924-5439",
            "fax_number": "580-967-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 DELIVERY LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012292",
            "telephone_number": "580-924-5439",
            "fax_number": "580-967-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 N Washington Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747012100",
            "country_code": "US",
            "telephone_number": "580-924-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "LAUGHLIN",
        "authorized_official_first_name": "MYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-924-5439",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Pediatrics and Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeastern Pediatrics and Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaylon Sneed, COTA
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• Southeastern Oklahoma Sports Medicine, PLLC
• Hazel Mae Southerland, LPC
• Southern Oklahoma Treatment Services, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Cherrie Spear

• Family Nurse Practitioner in Durant, OK
• Providers in Durant, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.