Individual provider Active NPI

Elizabeth Jean Urrea, APRN-CNP

  • Gerontology Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1033802236
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2130000 Issued in OK
Practice address
6565 S Yale Ave Ste 312
Tulsa, OK 74136-8304
Phone
(918) 502-7050
NPI assigned
Jun 1, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2130000 OK Primary

Addresses

Primary practice location

6565 S Yale Ave Ste 312
Tulsa, OK 74136-8304

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

7134 S Yale Ave Ste 500
Tulsa, OK 74136-6352
Phone (918) 841-5587

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
I20230703000846 OK Practitioner - Nurse Practitioner 7517326994 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vincent Bryan DO PLCGroup PAC ID 4486031473, 2 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

5170 S Vandalia Ave
Tulsa, OK 74135-4079
Phone (918) 496-3963

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2130000OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Luiskutty MD PLC CurrentSince Jun 1, 2023 Accepting new patients
Warren Clinic Inc CurrentSince Aug 7, 2023 Accepting new patients
Vincent Bryan DO PLC CurrentSince Jun 1, 2023 Accepting new patients
Arvid Lade MD PLC CurrentSince Jun 1, 2023 Accepting new patients
Digital Diagnostic Solutions LLC PastSince Nov 2, 2015 Accepting new patients

Locations

3800 W 71st St
Tulsa, OK 74132
Phone (918) 388-4254

5170 S Vandalia Ave
Tulsa, OK 74135
Phone (405) 312-8050

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6565 S Yale Ave
Ste 312
Tulsa, OK 74136
Phone (918) 502-7050

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

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

7134 S Yale Ave
Ste 500
Tulsa, OK 74136
Phone (918) 392-4763

Interoperability endpoints

  • Direct secure messaging: erohr104288@direct.saintfrancis.com

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1033802236",
    "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",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 312",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368304",
            "telephone_number": "918-502-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7134 S Yale Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741366352",
            "country_code": "US",
            "telephone_number": "918-841-5587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URREA",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "2130000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.