Individual provider Active NPI

Relindis Kotkiongah Tita, APRN

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1164155693
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
211107 Issued in OK
Practice address
2301 W I 44 Service Rd Ste 300
Oklahoma City, OK 73112-8766
Phone
(405) 607-2233
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 211107 OK Primary

Addresses

Primary practice location

2301 W I 44 Service Rd Ste 300
Oklahoma City, OK 73112-8766

Mailing address

2301 W I 44 Service Rd
Oklahoma City, OK 73112-8729
Phone (405) 607-2233

Other practice location 1

200 NE 28th St Ste 101
Oklahoma City, OK 73105-2802
Phone (405) 257-0256

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
I20230831001027 OK Practitioner - Nurse Practitioner 5597178822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KP Medical Group LLCGroup PAC ID 1153559752, 4 clinicians

Practice addresses (Care Compare)

2301 W I 44 Service Rd
Suite 300
Oklahoma City, OK 73112-8766
Phone (405) 607-2233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211107OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KP Medical Group, LLC CurrentSince Jun 11, 2023 Accepting new patients
Mental Wellbeing Psychiatry LLC CurrentSince Aug 1, 2024 Accepting new patients
Northside Psychiatry PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

200 NE 28th St
Ste 101
Oklahoma City, OK 73105
Phone (405) 257-0256

2301 W I 44 Service Rd
Ste 300
Oklahoma City, OK 73112
Phone (405) 286-4359

Organizations & group practices 3

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1164155693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W I 44 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128729",
            "telephone_number": "405-607-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W I 44 SERVICE RD STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128766",
            "telephone_number": "405-607-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NE 28th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731052802",
            "country_code": "US",
            "telephone_number": "405-257-0256",
            "fax_number": "405-351-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITA",
        "first_name": "RELINDIS",
        "middle_name": "KOTKIONGAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "211107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.