Individual provider Active NPI

Christine Leanne Kidd

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1033996897
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214714 Issued in OK
Practice address
6130 E 81St St
Tulsa, OK 74137-2101
Phone
(918) 401-1002
NPI assigned
Sep 13, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 214714 OK Primary

Addresses

Primary practice location

6130 E 81St St
Tulsa, OK 74137-2101

Mailing address

6130 E 81St St
Tulsa, OK 74137-2101
Phone (918) 401-1002

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
I20231012001030 OK Practitioner - Nurse Practitioner 4688029549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arvid Lade MD PLCGroup PAC ID 5890075550, 10 clinicians
Thomas Luiskutty MD PLCGroup PAC ID 1658652979, 10 clinicians

Practice addresses (Care Compare)

310 W Taft St
Arbor Village Nursing and Rehabilitation
Sapulpa, OK 74066-5437
Phone (918) 224-6012

3800 W 71St St
Inverness Village
Tulsa, OK 74132-2150
Phone (918) 252-2521

Merit-based Incentive Payment System (MIPS)

Final score
55.4 of 100Reported as group
Quality
0
Improvement activities
40
Cost
51.33

Merit-based Incentive Payment System (MIPS)

Final score
58.3 of 100Reported as group
Quality
0
Improvement activities
40
Cost
61.01

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
75.75
Improvement activities
40
Cost
69.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Luiskutty MD PLC CurrentSince Jan 27, 2024 Accepting new patients
Arvid Lade MD PLC CurrentSince Mar 1, 2024 Accepting new patients
Digital Diagnostic Solutions LLC PastSince Nov 2, 2015 Accepting new patients

Locations

310 W Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6012

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

4134 E 31st St
Tulsa, OK 74135
Phone (918) 346-6625

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1033996897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372101",
            "telephone_number": "918-401-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372101",
            "telephone_number": "918-401-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "CHRISTINE",
        "middle_name": "LEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "214714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.