Individual provider Active NPI

Barbra S Morykwas, AU.D.

  • Audiologist
  • Tulsa, OK
National Provider Identifier
1154614899
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3590 Issued in OK
Practice address
6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826
Phone
(918) 388-9090
Fax
(918) 388-9741
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3590 OK Primary

Addresses

Primary practice location

6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826

Mailing address

6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826
Phone (918) 388-9090

Other identifiers 1

IdentifierTypeStateIssuer
200334170AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3590OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Speech Language and Hearing Center Past Accepting new patients
Freedom Hearing Audiologist PastSince May 1, 2020 Accepting new patients

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1154614899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORYKWAS",
        "first_name": "BARBRA",
        "middle_name": "S",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200334170A",
            "state": "OK"
        }
    ],
    "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 Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.