Active NPI
Yipyo Kim, FNP-C
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 220771
- Practice address
- 1923 S Utica Ave
Siegfried Tower, 4TH FL
Tulsa, OK 74104-6520 - Phone
- (918) 748-7650
- Fax
- (918) 403-6341
- NPI assigned
- Nov 4, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 220771 | OK | Primary |
Addresses
Primary practice location
1923 S Utica Ave
Siegfried Tower, 4TH FL
Tulsa, OK 74104-6520
Mailing address
1923 S Utica Ave, Ground FL
Medical Staff Ofc
Tulsa, OK 74104-6520
Phone (918) 748-7650
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
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071
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 | |
| Tulsa Emergency Medical Center Inc | Current | Accepting new patients | |
| Medical Resource Management, LLC | Current | Accepting new patients | |
| St. John Physicians, Inc. | Past | Accepting new patients |
Locations
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
1923 S Utica Ave
Ofc
Tulsa, OK 74104
10221 E 81st St
Tulsa, OK 74133
Phone (918) 252-9300
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1923 S Utica Ave
Fl 4
Tulsa, OK 74104
Phone (918) 748-7650
Interoperability endpoints
- yipyo.kimfnp.p10@direct.nextcare.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- yipyo.kimfnp.p8@direct.nextcare.nextgenshare.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
- 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": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1245053735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE, GROUND FL",
"address_2": "MEDICAL STAFF OFC",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-748-7650",
"fax_number": "918-403-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"address_2": "SIEGFRIED TOWER, 4TH FL",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-748-7650",
"fax_number": "918-403-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YIPYO",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-04",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "220771",
"primary": true
}
],
"identifiers": [],
"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 Jan 9, 2026; 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.