Individual provider Active NPI

Aimee Musgrove, APRN-C

  • Primary Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1093198939
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
83052 Issued in OK
Practice address
2025 E 71St St
Tulsa, OK 74136-5407
Phone
(918) 561-6642
NPI assigned
Jul 8, 2015
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 83052 OK
Gerontology Nurse Practitioner 363LG0600X 83052 OK
Primary Care Nurse Practitioner 363LP2300X 83052 OK Primary

Addresses

Primary practice location

2025 E 71St St
Tulsa, OK 74136-5407

Mailing address

6528 E 101St St
Ste 1
Tulsa, OK 74133-6724
Phone (918) 382-5588

Other names 1

  • Aimee Lamphier 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
I20150928002555 OK Practitioner - Nurse Practitioner 3678881471 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
Thomas Luiskutty MD PLCGroup PAC ID 1658652979, 10 clinicians
Arvid Lade MD PLCGroup PAC ID 5890075550, 10 clinicians

Practice addresses (Care Compare)

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

4134 E 31St St
Oklahoma Methodist Manor
Tulsa, OK 74135-1511
Phone (918) 743-2565

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Luiskutty MD PLC CurrentSince Mar 1, 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) 346-6630

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.

Hospital & facility affiliations 1

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1093198939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 E 101ST ST",
            "address_2": "STE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336724",
            "telephone_number": "918-382-5588",
            "fax_number": "918-382-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365407",
            "telephone_number": "918-561-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "AIMEE",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "83052",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "83052",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "83052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "LAMPHIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.