OrganizationActive
Riverstone Medical LLC
NPI 1114705340 · Nursing Facility/Intermediate Care Facility · Bixby, OK
Provider details
- NPI number
- 1114705340
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Luiskutty, Administrator(918) 955-9026
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6910 E 111th Pl S
Bixby, OK 74008-2066
Phone: (918) 955-9026
Street-level locationGet directions
Mailing address
6910 E 111th Pl S
Bixby, OK 74008-2066
Registry dates
- Enumerated
- 2023-09-19
- Last updated
- 2023-09-19
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.