Individual provider Active NPI

Paula Jean Rother, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Norman, OK
National Provider Identifier
1780184754
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
77254 Issued in OK
Practice address
2760 Washington Dr Ste 110
Norman, OK 73069-1009
Phone
(405) 360-2827
Fax
(405) 283-1124
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 77254 OK Primary

Addresses

Primary practice location

2760 Washington Dr Ste 110
Norman, OK 73069-1009

Mailing address

30754 Drake CT
Norman, OK 73072-9208
Phone (405) 664-8549

Other practice location 1

2201 Westpark Dr
Norman, OK 73069-4012
Phone (405) 579-4111

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
I20180717003151 OK Practitioner - Nurse Practitioner 2567719925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Psychiatry Aprn-CNP PLLCGroup PAC ID 3971866484, 10 clinicians

Practice addresses (Care Compare)

2201 Westpark Dr
Norman, OK 73069-4012
Phone (405) 579-4111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77254OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Center of Norman LLC CurrentSince Jan 1, 2022 Accepting new patients
Al-Botros PLLC CurrentSince May 13, 2018 Accepting new patients
Norman Psychiatry Aprn-CNP PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2760 Washington Dr
Ste 110
Norman, OK 73069
Phone (405) 360-2827

2201 Westpark Dr
Norman, OK 73069
Phone (405) 579-4111

1111 N Lee Ave
Ste 105
Oklahoma City, OK 73103
Phone (405) 600-6730

Organizations & group practices 3

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1780184754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30754 DRAKE CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729208",
            "telephone_number": "405-664-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 WASHINGTON DR STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691009",
            "telephone_number": "405-360-2827",
            "fax_number": "405-283-1124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Westpark Dr",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730694012",
            "country_code": "US",
            "telephone_number": "405-579-4111",
            "fax_number": "405-579-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHER",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "77254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.