MS. RENAE LYN BATEMAN FNP NPI 1952628307

NPI Information

NPI: 1952628307
Provider Name: MS. RENAE LYN BATEMAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12455 E 100TH ST N STE 260
OWASSO, OK
ZIP 74055
Phone: (417) 781-5387
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MS. Renae Lyn Bateman, FNP is a family nurse practitioner in Owasso, OK with 15 years of experience. MS. Renae Lyn Bateman, FNP NPI is 1952628307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12455 E 100TH ST N STE 260
OWASSO, OK
ZIP 74055-676
Phone: (417) 781-5387
Fax: (417) 781-7174

The NPI 1952628307 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2010 and was last updated on 4/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2010008659	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200642440A	MEDICAID	KANSAS
2	1952628307	MEDICAID	MISSOURI
3	200284530A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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