Individual provider Active NPI

Caytlin Anne Oliver, P.A.-C

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1295157725
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2351 Issued in OK
Practice address
7153 S Yale Ave
Tulsa, OK 74136-6308
Phone
(918) 619-9400
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2351 OK Primary

Addresses

Primary practice location

7153 S Yale Ave
Tulsa, OK 74136-6308

Mailing address

7153 S Yale Ave
Tulsa, OK 74136-6308
Phone (918) 619-9400

Other names 1

  • Caytlin Anne Snodgrass Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140523000151 OK Practitioner - Physician Assistant 4587887344 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Urgent Care, LLCGroup PAC ID 6608393715, 41 clinicians
Tulsa Emergency Medical Center IncGroup PAC ID 3375442692, 23 clinicians

Practice addresses (Care Compare)

1623 S Utica Ave
Tulsa, OK 74104-4909
Phone (918) 392-5100

2334 SE Washington Blvd
Suite B
Bartlesville, OK 74006-7257
Phone (918) 331-9184

2929 S Garnett Rd
Tulsa, OK 74129-5101
Phone (918) 665-1520

401 W Blue Starr Dr
Claremore, OK 74017-4006
Phone (918) 343-6000

4115 Redden
Pryor, OK 74361-9192
Phone (918) 825-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2351OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Complete Healthcare A06 LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: caytlin.oliverpac.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: coliver1339368@ahs.direct-ci.com
  • Direct secure messaging: caytlin.oliverpac.p10@direct.nextcare.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1295157725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366308",
            "telephone_number": "918-619-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7153 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366308",
            "telephone_number": "918-619-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "CAYTLIN",
        "middle_name": "ANNE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAYTLIN",
            "last_name": "SNODGRASS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.