Individual provider Active NPI

Amos Adesokan

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1003661349
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217526 Issued in OK
Practice address
3352 E 51St St
Tulsa, OK 74135-3512
Phone
(539) 867-4881
Fax
(918) 584-8938
NPI assigned
Apr 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 217526 OK Primary

Addresses

Primary practice location

3352 E 51St St
Tulsa, OK 74135-3512

Mailing address

3352 E 51St St
Tulsa, OK 74135-3512
Phone (539) 867-4881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118002791 OK Practitioner - Nurse Practitioner 0345614673 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Wound LLC CurrentSince Jul 26, 2025 Accepting new patients
Thrive Urgent & Health Care LLC CurrentSince Sep 13, 2024 Accepting new patients

Locations

10401 W Reno Ave
Fl 1
Oklahoma City, OK 73127
Phone (877) 969-6863

3352 E 51st St
Tulsa, OK 74135
Phone (539) 867-4881

1810 8th Ave
Ste A101
Fort Worth, TX 76110
Phone (877) 969-6863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1003661349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353512",
            "telephone_number": "539-867-4881",
            "fax_number": "918-584-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353512",
            "telephone_number": "539-867-4881",
            "fax_number": "918-584-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESOKAN",
        "first_name": "AMOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "217526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.