Organization Active NPI

Twelvestone Infusion Centers LLC

  • Ophthalmology Physician
  • Jenks, OK
National Provider Identifier
1255245510
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TWELVESTONE INFUSION CENTERS LLC
Practice address
224 S Gateway PL # 101a
Jenks, OK 74037-3448
Phone
(844) 893-0012
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TWELVESTONE INFUSION CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Tara Harrelson
Title
Director
Phone
(615) 278-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

224 S Gateway PL # 101a
Jenks, OK 74037-3448

Mailing address

PO Box 12369
Murfreesboro, TN 37129-0048

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1255245510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12369",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S GATEWAY PL # 101A",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373448",
            "telephone_number": "844-893-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVESTONE INFUSION CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWELVESTONE INFUSION CENTERS LLC",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-278-3278"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.