Jennifer Faith Blair, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9038 Issued in OK

Practice address

3749 S 63Rd West Ave
Tulsa, OK 74107-4831

Phone

(185) 214-8319

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ahs Oklahoma Heart LLCGroup PAC ID 4587737135, 130 clinicians

Squareone Compassion IncGroup PAC ID 6507296845, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
• Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21321/brand/1/csg/1/fhir/r4
• Direct secure messaging: jblair113285@ahs.direct-ci.com

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.

• Ahs Oklahoma Heart LLC

  • Specialist
  • Tulsa, OK
  • NPI 1780857540
  Medicare reassignment Care Compare group NPD
• Squareone Compassion Inc

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1508493784
  Medicare reassignment Care Compare group NPD
• Thi Specialists LLC

  • Infectious Disease Physician
  • Tulsa, OK
  • NPI 1952763922
  Medicare reassignment NPD
• Tulsa Hospital Medicine Physicians Group, LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1144982711
  Medicare reassignment NPD
• Tulsa Hospitalists Inc

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1659397081
  Medicare reassignment NPD
• Integris Cardiovascular Physicians LLC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1306129598
  NPD (past)

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

• Ahs Hillcrest Medical Center, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1629057229
  Care Compare affiliation
• Ahs Southcrest Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1750661534
  Care Compare affiliation

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1255890935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "STE 460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044041",
            "telephone_number": "918-579-5749",
            "fax_number": "918-579-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 S 63RD WEST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741074831",
            "telephone_number": "185-214-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JENNIFER",
        "middle_name": "FAITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "9038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Blackwood
• Joel Evan Blackwood, RPA
• Charles Blagovich
• Emily Blair, RN
• Geoffrey Blair, PA-C
• Thomas Calvin Blair III
• Emily Grace Blais
• Blake Allen Little, M.D., L.L.C.
• Christine Faith Blake, MD
• George Jacob Blake, MD

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.

Verify at the official NPI Registry.