Individual provider Active NPI

Lauren Nicole Donaldson, PA-C, CAQ-PEDS

  • Physician Assistant
  • Norman, OK
National Provider Identifier
1679877229
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1989 Issued in OK
Practice address
2312 24TH Ave NW
Norman, OK 73069-6590
Phone
(405) 652-0581
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1989 OK Primary

Addresses

Primary practice location

2312 24TH Ave NW
Norman, OK 73069-6590

Mailing address

312 E Rich St
Norman, OK 73069-7820
Phone (580) 747-5274

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
I20110502000541 OK Practitioner - Physician Assistant 8022293323 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
Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians

Practice addresses (Care Compare)

1121 NW 63Rd St
Suite 5001
Nichols Hills, OK 73116-6504
Phone (405) 652-0632

1380 W Covell Rd
132 Mercy Gohealth Urgent Care N Edmond
Edmond, OK 73003-3575
Phone (405) 279-9637

2312 24TH Ave NW
Mercy Gohealth Urgent Care Norman
Norman, OK 73069-6590
Phone (405) 652-0581

705 SW 19TH St
120 Mercy Gohealth Urgent Care Moore
Moore, OK 73160-3052
Phone (405) 400-9442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1989OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jan 18, 2011 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jan 18, 2011 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Jan 12, 2025 Accepting new patients

Locations

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-5125

Organizations & group practices 4

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1679877229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E RICH ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697820",
            "telephone_number": "580-747-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696590",
            "telephone_number": "405-652-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PA-C, CAQ-PEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.