NPIMap

Individual provider Active NPI

Brianna Watkins, NP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1245086081
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217421 Issued in OK
Practice address
11100 Hefner Pointe Dr Ste a
Oklahoma City, OK 73120-5049
Phone
(405) 752-0871
Fax
(405) 755-9510
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 217421 OK Primary

Addresses

Primary practice location

11100 Hefner Pointe Dr Ste a
Oklahoma City, OK 73120-5049

Mailing address

11100 Hefner Pointe Dr Ste a
Oklahoma City, OK 73120-5049
Phone (405) 752-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001988 OK Practitioner - Nurse Practitioner 7618414384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Cancer and Blood Specialists LLCGroup PAC ID 4981874849, 12 clinicians
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

100 N 30TH St
Clinton, OK 73601-3117
Phone (405) 752-0871

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

2408 E 81St St
Suite 110
Tulsa, OK 74137-4215
Phone (405) 752-0871

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217421OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Jun 1, 2025 Accepting new patients
Northeastern Health System Current Accepting new patients
Oklahoma Cancer and Blood Specialists, LLC CurrentSince May 23, 2024 Accepting new patients
Northeastern Health System CurrentSince Jun 1, 2025 Accepting new patients

Locations

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

11100 Hefner Pointe Dr
Ste A
Oklahoma City, OK 73120
Phone (405) 752-0871

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

2408 E 81st St
Ste 110
Tulsa, OK 74137
Phone (539) 666-0919

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1245086081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 HEFNER POINTE DR STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205049",
            "telephone_number": "405-752-0871",
            "fax_number": "405-755-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 HEFNER POINTE DR STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205049",
            "telephone_number": "405-752-0871",
            "fax_number": "405-755-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BRIANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "217421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.