Individual provider Active NPI

Marcella Strickland, AUD

  • Audiologist
  • Tulsa, OK
National Provider Identifier
1174516447
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
236 Issued in OK
Practice address
5020 E 68TH St
Tulsa, OK 74136-3307
Phone
(918) 492-3636
Fax
(918) 494-8915
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 236 OK Primary

Addresses

Primary practice location

5020 E 68TH St
Tulsa, OK 74136-3307

Mailing address

5020 E 68TH St
Tulsa, OK 74136-3307
Phone (918) 492-3636

Other identifiers 1

IdentifierTypeStateIssuer
100665110AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001258 OK Practitioner - Qualified Audiologist 7214923762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

Tulsa, OK 74104
Phone (918) 748-7880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
236OKMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 20, 2017 Accepting new patients
St. John Physicians, Inc. CurrentSince Jul 20, 2017 Accepting new patients

Locations

800 W Boise Cir
Ste 320
Broken Arrow, OK 74012
Phone (918) 994-9150

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

2000 S Wheeling Ave
Ste 900
Tulsa, OK 74104
Phone (918) 403-6284

1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1174516447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "MARCELLA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100665110A",
            "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, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.