Individual provider Active NPI

Becky Pata, FNP-C

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1629504683
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
46308 Issued in OK
Practice address
805 W Covell Rd
Edmond, OK 73003-2176
Phone
(405) 820-4024
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 46308 OK
Family Nurse Practitioner 363LF0000X 46308 OK Primary

Addresses

Primary practice location

805 W Covell Rd
Edmond, OK 73003-2176

Mailing address

1901 W Glen Eagle
Edmond, OK 73025-1540
Phone (405) 820-4024

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
I20240117003969 OK Practitioner - Nurse Practitioner 0840642682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Ico Primary Care, LLCGroup PAC ID 6901240910, 6 clinicians
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

1664 S Choctaw Rd
Suite 101
Choctaw, OK 73020-6767
Phone (405) 600-6869

805 W Covell Rd
Suite 200
Edmond, OK 73003-2177
Phone (405) 216-5373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46308OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care of Oklahoma LLC Current Accepting new patients
Ico Primary Care, LLC CurrentSince Apr 3, 2025 Accepting new patients
Immediate Care of Oklahoma CurrentSince Jan 1, 2024 Accepting new patients
Immediate Care of Oklahoma, LLC CurrentSince Jan 1, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1664 S Choctaw Rd
Ste 101
Choctaw, OK 73020
Phone (405) 281-2144

805 W Covell Rd
Ste 200
Edmond, OK 73003
Phone (405) 216-5373

805 W Covell Rd
Edmond, OK 73003
Phone (405) 820-4024

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

3321 W Tecumseh Rd
Ste 125
Norman, OK 73072
Phone (405) 307-6900

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1629504683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W GLEN EAGLE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730251540",
            "telephone_number": "405-820-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032176",
            "telephone_number": "405-820-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATA",
        "first_name": "BECKY",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "46308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "46308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.