Individual provider Active NPI

Amelia Ruth Hawkins, RN, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1336739291
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205331 Issued in OK
Practice address
1325 E 15TH St Ste 205
Tulsa, OK 74120-5851
Phone
(918) 300-4939
NPI assigned
Jan 24, 2021
Last updated
Apr 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 205331 OK Primary

Addresses

Primary practice location

1325 E 15TH St Ste 205
Tulsa, OK 74120-5851

Mailing address

414 Yorktown St
Wagoner, OK 74467-3554
Phone (918) 513-2306

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
I20211216001231 OK Practitioner - Nurse Practitioner 4082005574 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faisal Wasi MD, PC CurrentSince Oct 31, 2022 Accepting new patients
Hospice Advantage, LLC Family CurrentSince Nov 30, 2022 Accepting new patients
Hospice Advantage, LLC Family CurrentSince Nov 30, 2022 Accepting new patients
Hospice Advantage, LLC Family Past Accepting new patients
Green Country Infectious Disease PC Past Accepting new patients

Locations

421 Stone Wood Dr
Broken Arrow, OK 74012
Phone (918) 872-8822

333 S 38th St
Ste A
Muskogee, OK 74401
Phone (918) 682-8631

905 NW 5th St
Stigler, OK 74462
Phone (918) 967-0072

1325 E 15th St
Ste 205
Tulsa, OK 74120
Phone (918) 300-4939

4612 S Harvard Ave
Ste E
Tulsa, OK 74135
Phone (918) 770-7687

35904 S Highway 82
Vinita, OK 74301
Phone (918) 782-1414

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 5

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": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1336739291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 YORKTOWN ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744673554",
            "telephone_number": "918-513-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E 15TH ST STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205851",
            "telephone_number": "918-300-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "AMELIA",
        "middle_name": "RUTH",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "205331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.