Individual provider Active NPI

Tabatha Truelove, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1164074472
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
127850 Issued in OK
Practice address
3101 Chandler Rd Ste 101
Muskogee, OK 74403-4955
Phone
(918) 913-7575
Fax
(918) 913-7576
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 127850 OK Primary

Addresses

Primary practice location

3101 Chandler Rd Ste 101
Muskogee, OK 74403-4955

Mailing address

3101 Chandler Rd Ste 101
Muskogee, OK 74403-4955
Phone (918) 913-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220201000078 CO Practitioner - Nurse Practitioner 3678966447 Reassigns benefits to 1 organization
I20240329000839 OK Practitioner - Nurse Practitioner 3678966447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kind Mind Mental Health Professional CorporationGroup PAC ID 6002254836, 5 clinicians
Revitalize Psychiatric Services IncGroup PAC ID 9830552546, 4 clinicians

Practice addresses (Care Compare)

655 E Okmulgee St
Muskogee, OK 74403-5529
Phone (918) 913-7575

7900 E Union Ave
Suite 1100
Denver, CO 80237-2746
Phone (303) 414-1164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127850OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalize Psychiatric Services, Inc. Psychiatric/Mental Health CurrentSince Oct 22, 2023 Accepting new patients
Kind Mind Mental Health Professional Corporation Psychiatric/Mental Health CurrentSince Jan 30, 2024 Accepting new patients

Locations

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

3005 Azalea Park Dr
Muskogee, OK 74401
Phone (918) 681-4303

655 E Okmulgee St
Muskogee, OK 74403
Phone (918) 683-0981

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1164074472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD STE 101",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034955",
            "telephone_number": "918-913-7575",
            "fax_number": "918-913-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD STE 101",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034955",
            "telephone_number": "918-913-7575",
            "fax_number": "918-913-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUELOVE",
        "first_name": "TABATHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "127850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.