Provider Demographics
NPI:1447140942
Name:MASSOTH, CATHERINE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MASSOTH
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:SHEPHERD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6465 S YALE AVE STE 605
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7808
Mailing Address - Country:US
Mailing Address - Phone:918-502-4848
Mailing Address - Fax:918-502-4850
Practice Address - Street 1:6465 S YALE AVE STE 605
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7808
Practice Address - Country:US
Practice Address - Phone:918-502-4848
Practice Address - Fax:918-502-4850
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK224394363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health