Individual provider Active NPI

Trisha Elayne Sutterfield

  • Family Nurse Practitioner
  • Choctaw, OK
National Provider Identifier
1790127017
Registry record updated Jul 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
92281 Issued in OK
Practice address
4801 Cedar Mill Rd
Choctaw, OK 73020-3106
Phone
(405) 391-4266
NPI assigned
Jul 28, 2013
Last updated
Jul 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 92281 OK Primary

Addresses

Primary practice location

4801 Cedar Mill Rd
Choctaw, OK 73020-3106

Mailing address

4801 Cedar Mill Rd
Choctaw, OK 73020-3106
Phone (405) 391-4266

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
I20140115001354 OK Practitioner - Nurse Practitioner 9537397732 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92281OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Mid-America, P.C. CurrentSince Dec 1, 2014 Accepting new patients
Oklahoma Emergency Services PC CurrentSince Jan 15, 2014 Accepting new patients
Midwest Hospital Medicine Associates PC Family CurrentSince Mar 1, 2016 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Nov 1, 2013 Accepting new patients
South Central Emergency Services PC CurrentSince Oct 15, 2014 Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients

Locations

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374969600000",
    "number": "1790127017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 CEDAR MILL RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730203106",
            "telephone_number": "405-391-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 CEDAR MILL RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730203106",
            "telephone_number": "405-391-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "TRISHA",
        "middle_name": "ELAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-28",
        "last_updated": "2013-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

Verify at the official NPI Registry.