Active NPI
Vanessa R Byers, ARNP
- Pediatric Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1285716795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R0072456
- Practice address
- 9311 S Mingo Rd
Tulsa, OK 74133-5702 - Phone
- (918) 307-1613
- Fax
- (918) 307-2454
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R0072456 | OK | Primary |
Addresses
Primary practice location
9311 S Mingo Rd
Tulsa, OK 74133-5702
Mailing address
9311 S Mingo Rd
Tulsa, OK 74133-5702
Phone (918) 307-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0072456 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients | |
| Allergy Clinic of Tulsa, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- https://fhir4.healow.com/fhir/r4/FADFAD
Organizations & group practices 2
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.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Allergy Physician
- Tulsa, OK
- NPI 1538270954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285716795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9311 S MINGO RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741335702",
"telephone_number": "918-307-1613",
"fax_number": "918-307-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9311 S MINGO RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741335702",
"telephone_number": "918-307-1613",
"fax_number": "918-307-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYERS",
"first_name": "VANESSA",
"middle_name": "R",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "R0072456",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.