Individual provider Active NPI

Raymond H Larimer, RN

  • Registered Nurse
  • Holdenville, OK
National Provider Identifier
1861167249
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
83012 Issued in OK
Practice address
117 Rogers Dr.
Holdenville, OK 74848
Phone
(405) 379-6668
Fax
(405) 379-5372
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 83012 OK Primary

Addresses

Primary practice location

117 Rogers Dr.
Holdenville, OK 74848

Mailing address

117 Rogers Dr.
Holdenville, OK 74848
Phone (405) 379-6668

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
83012OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma PastSince Aug 15, 2021 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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1861167249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ROGERS DR.",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-379-6668",
            "fax_number": "405-379-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ROGERS DR.",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-379-6668",
            "fax_number": "405-379-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIMER",
        "first_name": "RAYMOND",
        "middle_name": "H",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "83012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdenville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.