Amelia Roubideaux, APRN, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

109924 Issued in OK

Practice address

3613 NW 56TH St Ste 385
Oklahoma City, OK 73112-4531

Phone

(405) 848-3555

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Interim Healthcare of Oklahoma City, Inc

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1821057134
  Medicare reassignment NPD
• Interim Healthcare of Oklahoma City, Inc

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1881138626
  NPD (past)

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1669941894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SW 135TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST STE 385",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124531",
            "telephone_number": "405-848-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUBIDEAUX",
        "first_name": "AMELIA",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "109924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Rothaus
• David T Rothwell, MD
• Temitope Rotimi, MHR,LADC/MH, LPC CAN
• Aubrey Paige Rottschaefer, DDS
• Tiffany Lynette Rouamba
• Geoffrey Roubik, DDS
• Stacie E Rougas, MD
• Ronda Janelle Rounsaville
• Talla Akram Rousan, MD
• Londyn Rouse, LMSW

• Primary Care Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.