Active NPI
Maranda Marie Patterson, APRN-FNP
- Family Nurse Practitioner
- McAlester, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 92750
- Practice address
- 1401 E Van Buren Ave
McAlester, OK 74501-4245 - Phone
- (918) 421-8410
- Fax
- (918) 421-8772
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 92750 | OK | Primary |
Addresses
Primary practice location
1401 E Van Buren Ave
McAlester, OK 74501-4245
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125
Other practice location 1
1505 E Main St
Stigler, OK 74462-2913
Phone (918) 967-3368
Other practice location 2
204 Wall St Ste A
Poteau, OK 74953-4400
Phone (918) 647-2155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200834620A | Medicaid | OK |
Other names 1
- Maranda Marie Byrd
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 E Van Buren Ave
McAlester, OK 74501-4245
Phone (918) 426-0240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92750 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Clinic Inc | Current | Accepting new patients |
Locations
1401 E Van Buren Ave
McAlester, OK 74501
Phone (918) 421-8440
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
Interoperability endpoints
- mpatterson286532@direct.saintfrancis.com
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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1750849600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331",
"telephone_number": "888-247-0125",
"fax_number": "918-502-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E VAN BUREN AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014245",
"telephone_number": "918-421-8410",
"fax_number": "918-421-8772"
}
],
"practiceLocations": [
{
"address_1": "1505 E Main St",
"address_purpose": "LOCATION",
"city": "Stigler",
"state": "OK",
"postal_code": "744622913",
"country_code": "US",
"telephone_number": "918-967-3368",
"fax_number": "918-967-4582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 Wall St Ste A",
"address_purpose": "LOCATION",
"city": "Poteau",
"state": "OK",
"postal_code": "749534400",
"country_code": "US",
"telephone_number": "918-647-2155",
"fax_number": "918-647-4095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "MARANDA",
"middle_name": "MARIE",
"credential": "APRN-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "92750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200834620A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARANDA",
"last_name": "BYRD",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.