Individual provider Active NPI

Olivia Suttles, OS

  • Technician
  • Edmond, OK
National Provider Identifier
1861293326
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
425 S Fretz Ave Ste C
Edmond, OK 73003-5568
Phone
(405) 757-7980
NPI assigned
Mar 21, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X Primary

Addresses

Primary practice location

425 S Fretz Ave Ste C
Edmond, OK 73003-5568

Mailing address

7525 Knight Lake Dr Apt 203
Oklahoma City, OK 73132-6009
Phone (405) 505-4221

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

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1861293326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 KNIGHT LAKE DR APT 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326009",
            "telephone_number": "405-505-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S FRETZ AVE STE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035568",
            "telephone_number": "405-757-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLES",
        "first_name": "OLIVIA",
        "credential": "OS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.