Active NPI
Amos Adesokan
- Family Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1003661349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 217526
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Wound LLC | Current | Accepting new patients | |
| Thrive Urgent & Health Care LLC | Current | 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.
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1477259570
-
- Nurse Practitioner
- Oklahoma City, OK
- NPI 1710869862
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.