Individual provider Active NPI

Beverly Cotner, ARNP

  • Women's Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1982905691
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ROO34677 Issued in OK
Practice address
3435 NW 56TH St
Suite 404
Oklahoma City, OK 73112-4448
Phone
(405) 946-4735
Fax
(405) 946-4874
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ROO34677 OK Primary

Addresses

Primary practice location

3435 NW 56TH St
Suite 404
Oklahoma City, OK 73112-4448

Mailing address

3435 NW 56TH St
Suite 404
Oklahoma City, OK 73112-4448
Phone (405) 946-4735

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ROO34677OKMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bcotner59675@direct.integrisok.com

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1982905691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "SUITE 404",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-946-4735",
            "fax_number": "405-946-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "SUITE 404",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-946-4735",
            "fax_number": "405-946-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTNER",
        "first_name": "BEVERLY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "ROO34677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.