Individual provider Active NPI

Sarah Bevilacqua, WHNP-BC

  • Women's Health Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1154871333
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
117833 Issued in OK
Practice address
3501 S Yale Ave
Tulsa, OK 74135-8014
Phone
(918) 982-6250
NPI assigned
Oct 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP132060 TX
Women's Health Nurse Practitioner 363LW0102X 117833 OK Primary

Addresses

Primary practice location

3501 S Yale Ave
Tulsa, OK 74135-8014

Mailing address

3501 S Yale Ave
Tulsa, OK 74135-8014
Phone (281) 352-0537

Other practice location 1

6500 North Fwy
Houston, TX 77076-2953
Phone (713) 695-0002

Other practice location 2

2000 S Wheeling Ave
Tulsa, OK 74104-5649
Phone (918) 982-6250

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117833OKMDWomen's Health Nurse Practitioner
AP132060TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Williamson DO PC PastSince Aug 16, 2016 Accepting new patients
Hospice of Green Country, Inc. Past 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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1154871333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741358014",
            "telephone_number": "281-352-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741358014",
            "telephone_number": "918-982-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 North Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770762953",
            "country_code": "US",
            "telephone_number": "713-695-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045649",
            "country_code": "US",
            "telephone_number": "918-982-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVILACQUA",
        "first_name": "SARAH",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP132060",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "117833",
            "primary": true
        }
    ],
    "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 May 10, 2019; 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.