Individual provider Active NPI

Sheri Candida Burson, APRN-CNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1053611103
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78881 Issued in OK
Practice address
2946 E 5TH St
Tulsa, OK 74104
Phone
(918) 631-3717
Fax
(918) 631-2078
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78881 OK Primary

Addresses

Primary practice location

2946 E 5TH St
Tulsa, OK 74104

Mailing address

1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3825

Other practice location 1

1923 S Utica Ave - Emergency Dept
Tulsa, OK 74104-6520
Phone (918) 744-3528

Other practice location 2

2946 E 5th St
Tulsa, OK 74104
Phone (918) 631-3717

Other practice location 3

20 E 34th St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

Other identifiers 1

IdentifierTypeStateIssuer
1053611103MedicaidOK

Other names 1

  • Sheri Levan Former name

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
I20111227000108 OK Practitioner - Nurse Practitioner 7113193004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St John Urgent Care Clinics Inc CurrentSince Nov 21, 2012 Accepting new patients
Ahs Oklahoma Physician Group LLC Nurse Practitioner CurrentSince Feb 20, 2022 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Feb 20, 2022 Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

8131 S Memorial Dr
Ste 102
Tulsa, OK 74133
Phone (918) 872-6800

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: sburson554402@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1053611103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044013",
            "telephone_number": "918-579-3825",
            "fax_number": "918-579-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 E 5TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-631-3717",
            "fax_number": "918-631-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 S Utica Ave - Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741046520",
            "country_code": "US",
            "telephone_number": "918-744-3528",
            "fax_number": "918-744-3529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2946 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74104",
            "country_code": "US",
            "telephone_number": "918-631-3717",
            "fax_number": "918-631-2078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740634001",
            "country_code": "US",
            "telephone_number": "918-245-9675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURSON",
        "first_name": "SHERI",
        "middle_name": "CANDIDA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "78881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053611103",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "LEVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.