Active NPI
Fallon Thompson
- Acute Care Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 215536
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 502-1900
- Fax
- (918) 494-6303
- NPI assigned
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 215536 | OK | Primary |
| Registered Nurse | 163W00000X | R0136311 | OK |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
211 E Juneau PL
Broken Arrow, OK 74012-8269
Phone (918) 289-3697
Other practice location 1
1819 E 19th St Ste 500
Tulsa, OK 74104-5429
Phone (918) 744-3600
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0136311 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute LLC | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Tulsa Cancer Institute PLLC | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute LLC | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute, LLC | Current | Accepting new patients | |
| Care Communications LLC | Current | Accepting new patients | |
| Oklahoma Cancer Specialists and Research Institute LLC | Past | Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients |
Locations
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1819 E 19th St
Fl 5
Tulsa, OK 74104
Phone (918) 505-3200
12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6161 S Yale Ave
#A
Tulsa, OK 74136
6600 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-1805
1819 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 744-3600
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
Interoperability endpoints
- fthompson37958@direct.saintfrancis.com
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Tulsa, OK
- NPI 1003040767
-
- MOHS-Micrographic Surgery Physician
- Broken Arrow, OK
- NPI 1104291236
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Hematology & Oncology Physician
- Stillwater, OK
- NPI 1932574068
-
- Surgical Oncology Physician
- Tulsa, OK
- NPI 1194396721
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1508172982
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1962876045
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1104578418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E JUNEAU PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128269",
"telephone_number": "918-289-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-502-1900",
"fax_number": "918-494-6303"
}
],
"practiceLocations": [
{
"address_1": "1819 E 19th St Ste 500",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741045429",
"country_code": "US",
"telephone_number": "918-744-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "FALLON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "215536",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0136311",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.