Individual provider Active NPI

Alaina Michelle Stretch

  • Family Nurse Practitioner
  • Bixby, OK
National Provider Identifier
1124985544
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226831 Issued in OK
Practice address
11911 S Memorial Dr
Bixby, OK 74008-2030
Phone
(918) 943-3790
NPI assigned
Jan 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 226831 OK Primary

Addresses

Primary practice location

11911 S Memorial Dr
Bixby, OK 74008-2030

Mailing address

6620 S Date Ave
Broken Arrow, OK 74011-6619
Phone (918) 348-8530

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
I20260302002698 OK Practitioner - Nurse Practitioner 2961984778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6620 S Date Ave
Broken Arrow, OK 74011-6619

PO Box
Suite 334
Bixby, OK 74008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226831OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prophylaxis Healthcare LLC CurrentSince Feb 2, 2026 Accepting new patients
Prophylaxis Healthcare LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

11911 S Memorial Dr
Bixby, OK 74008
Phone (918) 497-3700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1124985544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 S DATE AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740116619",
            "telephone_number": "918-348-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082030",
            "telephone_number": "918-943-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRETCH",
        "first_name": "ALAINA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "226831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

Verify at the official NPI Registry.