Active NPI
Hannah Joy Keylada, APRN
- Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209722
- Practice address
- 1919 S Wheeling Ave Ste 504
Tulsa, OK 74104-5634 - Phone
- (918) 748-7532
- Fax
- (918) 710-3068
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209722 | OK | Primary |
Addresses
Primary practice location
1919 S Wheeling Ave Ste 504
Tulsa, OK 74104-5634
Mailing address
1923 S Utica Ave
Credentialing Ofc, Ground FL
Tulsa, OK 74104-6520
Phone (918) 403-7065
Other practice location 1
4720 S Harvard Ave Ste 100
Tulsa, OK 74135-3023
Phone (918) 403-4120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013368950A | Medicaid | OK | |
| 209722 | Other | OK | OK STATE APRN LIC |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
1919 S Wheeling Ave
Tulsa, OK 74104-5634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients |
Locations
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
4720 S Harvard Ave
Ste 100
Tulsa, OK 74135
Phone (918) 749-6730
1923 S Utica Ave
Ofc
Tulsa, OK 74104
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1919 S Wheeling Ave
Ste 504
Tulsa, OK 74104
Phone (918) 747-8071
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1225833569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"address_2": "CREDENTIALING OFC, GROUND FL",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-403-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE STE 504",
"city": "TULSA",
"state": "OK",
"postal_code": "741045634",
"telephone_number": "918-748-7532",
"fax_number": "918-710-3068"
}
],
"practiceLocations": [
{
"address_1": "4720 S Harvard Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741353023",
"country_code": "US",
"telephone_number": "918-403-4120",
"fax_number": "918-856-5058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYLADA",
"first_name": "HANNAH",
"middle_name": "JOY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "209722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013368950A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK STATE APRN LIC",
"identifier": "209722",
"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 Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.