Physician Assistant
OLIVIA DERRYBERRY PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1154124261 · enumerated 2025-04-01 · record updated 2026-08-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1716 NW 19TH ST, OKLAHOMA CITY, OK, 73106-3802 (405) 496-7348 Google Maps Apple Maps OpenStreetMap
- Practice location 11101 HEFNER POINTE DR, OKLAHOMA CITY, OK, 73120-0600 (580) 223-0447 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 5602 OK
In this directory
Locations and evidence
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Practice location
OKLAHOMA CITY, OK, 731200600
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.