Amelia Ruth Hawkins, RN, APRN
Individual provider Active NPI Family Nurse Practitioner · Tulsa, OK
NPI 1336739291 · NPPES record last updated Apr 30, 2023
Key facts
- NPI
- 1336739291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 205331 (OK)
- Practice address
- 1325 E 15TH St Ste 205
Tulsa, OK 74120-5851 - Phone
- (918) 300-4939
- NPI assigned
- Jan 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211216001231 | OK | Practitioner - Nurse Practitioner | 4082005574 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205331 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Advantage, LLC | Family | Current |
Accepting new patients |
| Faisal Wasi MD, PC | Current |
Accepting new patients | |
| Hospice Advantage, LLC | Family | Current |
Accepting new patients |
| Green Country Infectious Disease PC | Past | Accepting new patients | |
| Hospice Advantage, LLC | Family | 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
4612 S Harvard Ave
Ste E
Tulsa, OK 74135
Phone (918) 770-7687
1325 E 15th St
Ste 205
Tulsa, OK 74120
Phone (918) 300-4939
35904 S Highway 82
Vinita, OK 74301
Phone (918) 343-0777
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 205331 | OK | Yes |
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
Other providers in Tulsa, OK
- Haven Detox Tulsa LLC
- Ziad Issam Hawa
- Janie Colene Hawk
- Laney Hawk
- Aurora Hawkins-Hensley
- Bryan J. Hawkins
- Donnie L Hawkins
- Ebony Hawkins
- Gavin Hawkins
- Hollie Lea Hawkins
All providers in Tulsa, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.