Active NPI
Community Nursing Center of Oklahoma City, LLC
Doing business as Diversity Family Health
- Health Service Clinic/Center
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- COMMUNITY NURSING CENTER OF OKLAHOMA CITY, LLC
- Doing business as
- Diversity Family Health
- Practice address
- 1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425 - Phone
- (405) 848-0026
- NPI assigned
- Jan 4, 2018
- Last updated
- Aug 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Rooms, ARNP
- Title
- Practitioner
- Phone
- (405) 388-2258
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425
Mailing address
1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425
Phone (405) 848-0026
Other practice location 1
1822 E 15th St
Tulsa, OK 74104-4645
Phone (405) 848-0026
Other practice location 2
1818 W Lindsey St Ste D100
Norman, OK 73069-4171
Phone (405) 848-0026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200750040 | Medicaid | OK |
Other names 1
- Diversity Family Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180402000063 | OK | Part B Supplier - Clinic/Group Practice | 9032471131 |
Receives reassigned benefits from 12 practitioners 2 other NPIs on this enrollment Practice locations: Oklahoma City, OK; Tulsa, OK; Norman, OK |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Diversity Family Health
- Health Service Clinic/Center
- Tulsa, OK
- NPI 1881345478
O20180402000063
-
dba Diversity Family Health
- Health Service Clinic/Center
- Norman, OK
- NPI 1790473502
O20180402000063
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2223419 | Diversity Family Health Community Nursing Center | Accreditation | Oct 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Community Nursing Center of
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Diversity Family Health
- Health Service Clinic/Center
- Tulsa, OK
- NPI 1881345478
-
dba Diversity Family Health
- Health Service Clinic/Center
- Norman, OK
- NPI 1790473502
Locations
329 White St
Norman, OK 73069
Phone (405) 848-0026
1200 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
1211 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 235-8008
1822 E 15th St
Tulsa, OK 74104
Phone (405) 848-0026
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Oklahoma City, OK
- NPI 1316982887
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1093277444
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1487430146
-
- Social Worker
- Oklahoma City, OK
- NPI 1508441098
-
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1861851750
-
- Family Nurse Practitioner
- Norman, OK
- NPI 1164830584
-
- Family Nurse Practitioner
- Norman, OK
- NPI 1104482025
-
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1982848719
-
- Clinical Social Worker
- Oklahoma City, OK
- NPI 1356971881
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1891354973
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1316336399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1881101459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N SHARTEL AVE STE 300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032425",
"telephone_number": "405-848-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N SHARTEL AVE STE 300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032425",
"telephone_number": "405-848-0026"
}
],
"practiceLocations": [
{
"address_1": "1822 E 15th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741044645",
"country_code": "US",
"telephone_number": "405-848-0026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 W Lindsey St Ste D100",
"address_purpose": "LOCATION",
"city": "Norman",
"state": "OK",
"postal_code": "730694171",
"country_code": "US",
"telephone_number": "405-848-0026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY NURSING CENTER OF OKLAHOMA CITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-04",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "ROOMS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "PRACTITIONER",
"authorized_official_telephone_number": "405-388-2258",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200750040",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diversity Family Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
- Community Hospital LLC (Community Hospital)
- Community Hospital LLC
- Community Impact Youth & Family Service
- Community Impact Youth & Family Services
- Community Learning Council, Inc.
- Community Pathways Unlimited Inc
- Community Pathways Unlimited, Inc.
- Community Pharmacy LLC (Fountain Park Pharmacy)
- Community Pharmacy, LLC (Fountain Park Pharmacy)
- Community Practice
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.