Individual provider Active NPI

Vena Marie Tawkoyty, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1194521716
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
221763 Issued in OK
Practice address
1013 15TH Ave NW
Ardmore, OK 73401-1810
Phone
(580) 238-4277
NPI assigned
Feb 24, 2025
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 221763 OK Primary

Addresses

Primary practice location

1013 15TH Ave NW
Ardmore, OK 73401-1810

Mailing address

8324 NW 141St Cir
Oklahoma City, OK 73142-7009
Phone (405) 821-4288

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
I20251117001326 OK Practitioner - Nurse Practitioner 4587155627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marias Healthcare Services Inc.Group PAC ID 3577451327, shared by 5 NPIs, 11 clinicians
Oklahoma Integrated Care PLCGroup PAC ID 5193113751, 9 clinicians

Practice addresses (Care Compare)

1 4TH Ave SE
Conrad, MT 59425-2323
Phone (406) 271-2007

1013 15TH Ave NW
Ardmore, OK 73401-1810
Phone (580) 238-4277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221763OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Integrated Care PLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients

Locations

1013 15th Ave NW
Ardmore, OK 73401
Phone (580) 222-4037

2760 Washington Dr
Ste 110
Norman, OK 73069
Phone (405) 360-2827

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1194521716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 NW 141ST CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731427009",
            "telephone_number": "405-821-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-238-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWKOYTY",
        "first_name": "VENA",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "221763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.