Individual provider Active NPI

Laurie Nicole Todd, P.A.

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1487946471
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2016 Issued in OK
Practice address
3330 NW 56TH St Ste 206
Oklahoma City, OK 73112-4426
Phone
(405) 945-4710
Fax
(405) 562-9242
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056098 PA
Physician Assistant 363A00000X 2016 OK Primary

Addresses

Primary practice location

3330 NW 56TH St Ste 206
Oklahoma City, OK 73112-4426

Mailing address

3330 NW 56TH St
Ste 206
Oklahoma City, OK 73112-4426
Phone (405) 945-4710

Other practice location 1

300 Halket St
Suite 1750
Pittsburgh, PA 15213-3108
Phone (412) 641-5410

Other practice location 2

300 Halket St
Suite 1750
Pittsburgh, PA 15213-3108
Phone (412) 641-5410

Other identifiers 1

IdentifierTypeStateIssuer
200333010AMedicaidOK

Other names 1

  • Miss Laurie Nicole Elms Former name

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
I20110805000119 OK Practitioner - Physician Assistant 3173792231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Ibmc ER PhysiciansGroup PAC ID 6709963085, 16 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Select Specialty Hospital - Oklahoma City, Inc Long-term care hospital, Oklahoma City, OK, CCN 372009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2016OKMDOptometrist
MA056098PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Mar 1, 2026 Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

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.

Hospital & facility affiliations 5

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487946471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "STE 206",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124426",
            "telephone_number": "405-945-4710",
            "fax_number": "405-562-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST STE 206",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124426",
            "telephone_number": "405-945-4710",
            "fax_number": "405-562-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Halket St",
            "address_2": "Suite 1750",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133108",
            "country_code": "US",
            "telephone_number": "412-641-5410",
            "fax_number": "412-641-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Halket St",
            "address_2": "Suite 1750",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133108",
            "country_code": "US",
            "telephone_number": "412-641-5410",
            "fax_number": "412-641-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "LAURIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056098",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200333010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "ELMS",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.