KATHERYN NOEL VANDIVER (APRN) – Family Nurse Practitioner, NPI 1235481771

Family Nurse Practitioner

KATHERYN NOEL VANDIVER (APRN) is a healthcare provider. based in Moore, Oklahoma. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 88767 (OK). The NPI Number for KATHERYN NOEL VANDIVER (APRN) is 1235481771

Main info

Female

Sole Proprietor

14 Years Of Experience

Accepts Medicare Assignment

Name

KATHERYN NOEL VANDIVER (APRN)

NPI

1235481771

Phone

(405) 794-3001

Address

1040 SW 19TH STREET

Enumeration Date

8 October 2012

Last Update Date

30 June 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2012 (14 years ago)

PAC ID

1658523741

Group Practice PAC ID

9739268897

Professional Enrollment ID

I20121219000227

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KATHERYN NOEL VANDIVER (APRN)

1040 SW 19TH STREET
MOORE, OK 73160
Phone: (405) 794-3001
Fax: (405) 794-3026
Type: Mailing
2100 SW 119TH ST
OKLAHOMA CITY, OK 731703437
Phone: (405) 691-1041
Fax: (405) 378-3480
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9739268897View full group profile

Name	Specialty	State
MRS. ASHLEY RANAE BALDWIN (APRN CNP)	-	OK
GLORIA AYISI (APRN-CNP)	Nurse Practitioner	OK
BETHANY DIANNA BROWN (CNP)	Nurse Practitioner	OK
HELEN VOGT (APRN, CNP)	-	OK
LUPITA ANN WEATHERWAX (APRN-CNP)	-	AZ
KATHLEEN MARIE BROWN (FNP)	-	OK