Individual provider Active NPI

Sheron Kurian, DNP

  • Acute Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1285107052
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
205172 Issued in OK
Practice address
2000 S Wheeling Ave Ste 1100
Tulsa, OK 74104-5649
Phone
(918) 744-2925
Fax
(918) 744-3671
NPI assigned
Jan 4, 2019
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00882300 NJ
Acute Care Nurse Practitioner 363LA2100X 205172 OK Primary
Critical Care Medicine Registered Nurse 163WC0200X 26NR15371900 NJ

Addresses

Primary practice location

2000 S Wheeling Ave Ste 1100
Tulsa, OK 74104-5649

Mailing address

2000 S Wheeling Ave Ste 1100
Tulsa, OK 74104-5649
Phone (918) 744-2925

Other practice location 1

125 Paterson St Ste 5100B
New Brunswick, NJ 08901-1962
Phone (732) 235-6512

Other practice location 2

310 Stony Brook Rd
Branchburg, NJ 08876-3716
Phone (908) 444-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190603002445 NJ Practitioner - Nurse Practitioner 4183957301 Reassigns benefits to 1 organization
I20210923001827 OK Practitioner - Nurse Practitioner 4183957301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR15371900NJMDCritical Care Medicine Registered Nurse
26NJ00882300NJMDAcute Care Nurse Practitioner
205172OKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Sep 13, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
#5100
New Brunswick, NJ 08901
Phone (732) 235-6512

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 5100B
New Brunswick, NJ 08901
Phone (732) 235-6512

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

2000 S Wheeling Ave
Ste 1100
Tulsa, OK 74104
Phone (918) 712-8111

Interoperability endpoints

  • Direct secure messaging: skurian18241@epicdirect.rwjbh.org

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1285107052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045649",
            "telephone_number": "918-744-2925",
            "fax_number": "918-744-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045649",
            "telephone_number": "918-744-2925",
            "fax_number": "918-744-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Paterson St Ste 5100B",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011962",
            "country_code": "US",
            "telephone_number": "732-235-6512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Stony Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088763716",
            "country_code": "US",
            "telephone_number": "908-444-1668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIAN",
        "first_name": "SHERON",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00882300",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "205172",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR15371900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.