NPIMap

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
Last updated
Aug 4, 2025By the provider in NPPES
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
Nurse Practitioner 363L00000X M0070626 OK Primary
Family Nurse Practitioner 363LF0000X 755622 TX

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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
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 PLLCGroup PAC ID 2264853928, 14 clinicians
Optimum Post Acute Care PLLCGroup PAC ID 5799162111, 18 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
755622TXMDFamily Nurse Practitioner

Practice roles

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

Locations

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "M0070626",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "755622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.