Individual provider Active NPI

Laveda Lynn Roberts, APRN NP-C

  • Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1982978722
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
M0070626 Issued in OK
Practice address
1501 E 19TH St Ste 303
Edmond, OK 73013-6618
Phone
(405) 471-6511
Fax
(405) 471-6522
NPI assigned
Feb 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 755622 TX
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X M0070626 OK Primary

Addresses

Primary practice location

1501 E 19TH St Ste 303
Edmond, OK 73013-6618

Mailing address

1501 E 19TH St Ste 303
Edmond, OK 73013-6618
Phone (405) 471-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618001319 OK Practitioner - Nurse Practitioner 4486816550 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimum Primary Care PLLC 14 clinicians
Optimum Post Acute Care PLLC 18 clinicians

Practice addresses (Care Compare)

1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 471-6511

Hospital & facility affiliations

  • Angels Care Home Health of Oklahoma Home health agency, Oklahoma City, OK, CCN 377447
  • Abiding Home Health of Oklahoma City Home health agency, Oklahoma City, OK, CCN 377675
  • Excell Home Care Home health agency, Oklahoma City, OK, CCN 377534
  • Assured Home Health of Oklahoma City Home health agency, Oklahoma City, OK, CCN 377666
  • Summit Medical Center, LLC Hospital, Edmond, OK, CCN 370225
  • Onecore Health Hospital, Oklahoma City, OK, CCN 370220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
M0070626OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Hope Foundation Inc CurrentSince Sep 8, 2018 Accepting new patients
St. Hope Foundation, Inc CurrentSince Sep 8, 2018 Accepting new patients
Optimum Family Urgent Care PLLC Multi-Specialty CurrentSince Apr 13, 2025 Accepting new patients
St Hope Foundation Inc Multi-Specialty Current Accepting new patients
Optimum Pac PLLC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
Optimum Primary Care PLLC Multi-Specialty CurrentSince Apr 25, 2025 Accepting new patients
Optimum Post Acute Care PLLC Multi-Specialty CurrentSince Mar 29, 2025 Accepting new patients
Optimum Care Hospitalist Group PLLC Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Patient Management Associates, LLC Multi-Specialty Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1501 E 19th St
Ste 303
Edmond, OK 73013
Phone (405) 471-6511

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111

255 Northpoint Dr
Ste 200
Houston, TX 77060
Phone (832) 300-8040

6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1982978722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 19TH ST STE 303",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136618",
            "telephone_number": "405-471-6511",
            "fax_number": "405-471-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 19TH ST STE 303",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136618",
            "telephone_number": "405-471-6511",
            "fax_number": "405-471-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LAVEDA",
        "middle_name": "LYNN",
        "credential": "APRN NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "755622",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "M0070626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.