Active NPI
Kyle D Nolan, DO
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1346824711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8123
- Practice address
- 1239 S Trenton Ave
Tulsa, OK 74120-5420 - Phone
- (918) 582-2151
- Fax
- (918) 588-8822
- NPI assigned
- May 11, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8123 | OK | Primary |
Addresses
Primary practice location
1239 S Trenton Ave
Tulsa, OK 74120-5420
Mailing address
1239 S Trenton Ave
Tulsa, OK 74120-5420
Phone (918) 582-2151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1346824711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 S TRENTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741205420",
"telephone_number": "918-582-2151",
"fax_number": "918-588-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 S TRENTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741205420",
"telephone_number": "918-582-2151",
"fax_number": "918-588-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "KYLE",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-11",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "8123",
"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 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.