Individual provider Active NPI

Hannah Joy Keylada, APRN

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1225833569
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209722 Issued in OK
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

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2013368950AMedicaidOK
209722OtherOKOK 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609003273 OK Practitioner - Nurse Practitioner 0941710933 Reassigns benefits to 1 organization

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
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

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

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jun 23, 2025 Accepting new patients
St. John Physicians, Inc. CurrentSince Jun 23, 2025 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.

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

Verify at the official NPI Registry.