Individual provider Active NPI

Robin L Enders, ARNP

  • Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1720042575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0058613 Issued in OK
Practice address
1812 Hillcrest Dr
Bartlesville, OK 74003-6228
Phone
(918) 335-2273
Fax
(918) 335-1290
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0058613 OK Primary
Nurse Practitioner 363L00000X 45669 KS

Addresses

Primary practice location

1812 Hillcrest Dr
Bartlesville, OK 74003-6228

Mailing address

1812 Hillcrest Dr
Bartlesville, OK 74003-6228
Phone (918) 335-2273

Other identifiers 1

IdentifierTypeStateIssuer
2000069820AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0058613OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Stem Cardiology PC Past Accepting new patients

Organizations & group practices 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720042575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 HILLCREST DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036228",
            "telephone_number": "918-335-2273",
            "fax_number": "918-335-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 HILLCREST DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036228",
            "telephone_number": "918-335-2273",
            "fax_number": "918-335-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERS",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0058613",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000069820A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.