Individual provider Active NPI

Temmile Delores Williams

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1235728858
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201059 Issued in OK
Practice address
7136 S Yale Ave Ste 206
Tulsa, OK 74136-6356
NPI assigned
Jan 18, 2021
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201059 OK Primary

Addresses

Primary practice location

7136 S Yale Ave Ste 206
Tulsa, OK 74136-6356

Mailing address

9306 S 74TH East Ave
Tulsa, OK 74133-5458
Phone (918) 269-8692

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
I20210302001737 OK Practitioner - Nurse Practitioner 6901212794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arvid Lade MD PLCGroup PAC ID 5890075550, 10 clinicians
Thomas Luiskutty MD PLCGroup PAC ID 1658652979, 10 clinicians

Practice addresses (Care Compare)

10098 N 123Rd E Ave
The Highlands of Owasso
Owasso, OK 74055-2260
Phone (918) 928-4800

4134 E 31St St
Oklahoma Methodist Manor
Tulsa, OK 74135-1511
Phone (918) 743-2565

6800 S Granite Ave
Montereau
Tulsa, OK 74136-7039
Phone (918) 252-2521

Merit-based Incentive Payment System (MIPS)

Final score
55.4 of 100Reported as group
Quality
0
Improvement activities
40
Cost
51.33

Merit-based Incentive Payment System (MIPS)

Final score
58.3 of 100Reported as group
Quality
0
Improvement activities
40
Cost
61.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201059OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Luiskutty MD PLC CurrentSince Feb 5, 2021 Accepting new patients
Arvid Lade MD PLC CurrentSince Feb 5, 2021 Accepting new patients
Digital Diagnostic Solutions LLC PastSince Nov 2, 2015 Accepting new patients

Locations

3800 W 71st St
Tulsa, OK 74132
Phone (918) 388-4254

7134 S Yale Ave
Ste 500
Tulsa, OK 74136
Phone (918) 392-4763

7136 S Yale Ave
Ste 206
Tulsa, OK 74136
Phone (918) 392-4763

Organizations & group practices 4

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1235728858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 S 74TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335458",
            "telephone_number": "918-269-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 S YALE AVE STE 206",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TEMMILE",
        "middle_name": "DELORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.