Individual provider Active NPI

Deborah S Harrington, APRN-CNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1194386029
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114923 Issued in OK
Practice address
1239 S Trenton Ave
Tulsa, OK 74120-5420
Phone
(918) 588-8873
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 114923 OK
Family Nurse Practitioner 363LF0000X 114923 OK Primary

Addresses

Primary practice location

1239 S Trenton Ave
Tulsa, OK 74120-5420

Mailing address

14472 S Gary CT
Bixby, OK 74008-8036
Phone (405) 431-7197

Other practice location 1

14472 S Gary Ct
Bixby, OK 74008-8036
Phone (405) 431-7197

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
I20200128002910 OK Practitioner - Nurse Practitioner 5294161923 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
Group practices
Parkside, Inc.Group PAC ID 5496644049, 15 clinicians

Practice addresses (Care Compare)

1620 E 12TH St
Tulsa, OK 74120-5407
Phone (918) 582-2131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114923OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside, Inc. Current Accepting new patients
Parkside, Inc. CurrentSince Dec 20, 2019 Accepting new patients
Parkside, Inc. CurrentSince Dec 20, 2019 Accepting new patients

Locations

1620 E 12th St
Tulsa, OK 74120
Phone (918) 582-2131

1239 S Trenton Ave
Tulsa, OK 74120
Phone (918) 582-2131

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1194386029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14472 S GARY CT",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740088036",
            "telephone_number": "405-431-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 S TRENTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205420",
            "telephone_number": "918-588-8873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14472 S Gary Ct",
            "address_purpose": "LOCATION",
            "city": "Bixby",
            "state": "OK",
            "postal_code": "740088036",
            "country_code": "US",
            "telephone_number": "405-431-7197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "114923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "114923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.