Active NPI
Dawn Marie Ballew, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R0117056
- Practice address
- 2323 S Harvard Ave
Tulsa, OK 74114-3301 - Phone
- (918) 293-2140
- Fax
- (918) 293-2195
- NPI assigned
- Nov 23, 2016
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R0117056 | OK | Primary |
| Registered Nurse | 163W00000X | 117056 | OK |
Addresses
Primary practice location
2323 S Harvard Ave
Tulsa, OK 74114-3301
Mailing address
2323 S Harvard Ave
Tulsa, OK 74114-3301
Phone (918) 293-2140
Other practice location 1
6655 S Yale Ave
Tulsa, OK 74136-3326
Phone (918) 491-3700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2323 S Harvard Ave
TCBH
Tulsa, OK 74114-3301
Phone (918) 293-2140
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.86 of 100
- Quality
- 85.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117056 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Psychiatric/Mental Health | Current | Accepting new patients |
| Laureate Psychiatric Clinic and Hospital Inc | Current | Accepting new patients | |
| Indian Health Care Resource Center | Past | Accepting new patients | |
| Indian Health Care Resource Center of Tulsa, Inc. | Past | Accepting new patients |
Locations
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
6600 S Yale Ave
Ste 600
Tulsa, OK 74136
Phone (918) 491-5990
6655 S Yale Ave
Tulsa, OK 74136
Phone (918) 481-4000
Interoperability endpoints
- dballew26624@direct.saintfrancis.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Central Oklahoma Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
Psychiatric/Mental Health
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1710985064
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
dba Tulsa Center for Behavioral Health
- Psychiatric Hospital
- Tulsa, OK
- NPI 1578580916
-
- Clinic/Center
- Tulsa, OK
- NPI 1427034958
-
- Pharmacy
- Tulsa, OK
- NPI 1457447609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1295278240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741143301",
"telephone_number": "918-293-2140",
"fax_number": "918-293-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741143301",
"telephone_number": "918-293-2140",
"fax_number": "918-293-2195"
}
],
"practiceLocations": [
{
"address_1": "6655 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741363326",
"country_code": "US",
"telephone_number": "918-491-3700",
"fax_number": "918-481-4063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLEW",
"first_name": "DAWN",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-23",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "R0117056",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "117056",
"primary": false
}
],
"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 Aug 7, 2024; 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.