Individual provider Active NPI

Keyanna Renee Rawlins, FNP-BC

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1497484760
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206397 Issued in OK
Practice address
809 Sedona Dr
Norman, OK 73071-9502
Phone
(877) 706-6631
NPI assigned
Jun 9, 2022
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 206397 OK Primary
Family Nurse Practitioner 363LF0000X 860317 NV

Addresses

Primary practice location

809 Sedona Dr
Norman, OK 73071-9502

Mailing address

6608 N Western Ave # 1605
Oklahoma City, OK 73116-7326
Phone (877) 706-6631

Other practice location 1

4560 S Decatur Blvd Ste 301
Las Vegas, NV 89103-5253
Phone (877) 706-6631

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
I20260219003319 OK Practitioner - Nurse Practitioner 8123509932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

PO Box
Suite 1334
Nash, TX 75569

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
860317NVMDFamily Nurse Practitioner
206397OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pallicare, Inc Family CurrentSince Feb 10, 2026 Accepting new patients
Traditions Hospice of Seminole, LLC PastSince Jun 12, 2022 Accepting new patients
Alpha Hospice, LLC PastSince Feb 10, 2026 Accepting new patients
Healthback of Central Oklahoma, Inc. PastSince Jun 12, 2022 Accepting new patients

Locations

2760 Washington Dr
Ste 100
Norman, OK 73069
Phone (405) 928-9885

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1497484760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 N WESTERN AVE # 1605",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167326",
            "telephone_number": "877-706-6631",
            "fax_number": "405-289-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SEDONA DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730719502",
            "telephone_number": "877-706-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 S Decatur Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891035253",
            "country_code": "US",
            "telephone_number": "877-706-6631",
            "fax_number": "405-289-6782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWLINS",
        "first_name": "KEYANNA",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206397",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "860317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.