Individual provider Active NPI

Debra Sue Colpitt, M.D.

  • Family Medicine Physician
  • Owasso, OK
National Provider Identifier
1851316913
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14288 Issued in OK
Practice address
10512 North 110TH East Avenue
Suite 300
Owasso, OK 74055-6638
Phone
(918) 376-8900
Fax
(918) 376-8987
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14288 OK Primary

Addresses

Primary practice location

10512 North 110TH East Avenue
Suite 300
Owasso, OK 74055-6638

Mailing address

10512 North 110TH East Avenue
Suite 300
Owasso, OK 74055-6638
Phone (918) 376-8900

Other identifiers 1

IdentifierTypeStateIssuer
100100040BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14288OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Henryetta Hospital LLC 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1851316913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 NORTH 110TH EAST AVENUE",
            "address_2": "SUITE 300",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556638",
            "telephone_number": "918-376-8900",
            "fax_number": "918-376-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 NORTH 110TH EAST AVENUE",
            "address_2": "SUITE 300",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556638",
            "telephone_number": "918-376-8900",
            "fax_number": "918-376-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLPITT",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100040B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.