Individual provider Active NPI

Kurtis Scott Crawford

  • Family Nurse Practitioner
  • Sand Springs, OK
National Provider Identifier
1033580964
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0103826 Issued in OK
Practice address
102 S Main St
Sand Springs, OK 74063-6509
Phone
(918) 246-2288
Fax
(918) 246-5714
NPI assigned
Oct 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 R0103826 OK Primary

Addresses

Primary practice location

102 S Main St
Sand Springs, OK 74063-6509

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Other identifiers 1

IdentifierTypeStateIssuer
200614080AMedicaidOK

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
I20151119001064 OK Practitioner - Nurse Practitioner 0648570846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Clinic of Tulsa IncGroup PAC ID 7315925831, 12 clinicians

Practice addresses (Care Compare)

9311 S Mingo Rd
Tulsa, OK 74133-5702
Phone (918) 307-1613

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0103826OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Clinic of Tulsa, Inc. CurrentSince Mar 20, 2025 Accepting new patients
Warren Clinic Inc CurrentSince Mar 25, 2024 Accepting new patients

Locations

102 S Main St
Sand Springs, OK 74063
Phone (918) 245-2286

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6802 S Olympia Ave
Ste 150
Tulsa, OK 74132
Phone (918) 307-1613

1727 S Utica Ave
Tulsa, OK 74104
Phone (918) 307-1613

9311 S Mingo Rd
Tulsa, OK 74133
Phone (918) 307-1613

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FADFAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FADFAD/Endpoint/FADFAD

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1033580964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636509",
            "telephone_number": "918-246-2288",
            "fax_number": "918-246-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KURTIS",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0103826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200614080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.