Active NPI
Rebecca Cline
- Psychiatric/Mental Health Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1366720229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 63489
- Practice address
- 7302 S Yale Ave
Tulsa, OK 74136-7027 - Phone
- (918) 712-4301
- Fax
- (855) 855-4102
- NPI assigned
- Jul 26, 2011
- Last updated
- Jun 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 63489 | OK | Primary |
Addresses
Primary practice location
7302 S Yale Ave
Tulsa, OK 74136-7027
Mailing address
10512 N 110TH East Ave
#100
Owasso, OK 74055-6636
Phone (918) 272-6333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mindspa@mindspa.medicalservices.com | Health Information Exchange (HIE) |
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6400 S Lewis Ave
Suite 100
Tulsa, OK 74136-1088
Phone (405) 378-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Women's Health, LLC | Current | Accepting new patients |
Locations
1105 SW 30th Ct
Moore, OK 73160
Phone (405) 378-4439
6400 S Lewis Ave
Ste 100
Tulsa, OK 74136
Phone (918) 270-4100
Interoperability endpoints
- lifestancehealth.rebeccacline@148561.advancedmd-direct.com
- mindspa@mindspa.medicalservices.com
Organizations & group practices 1
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": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1366720229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10512 N 110TH EAST AVE",
"address_2": "#100",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556636",
"telephone_number": "918-272-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7302 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741367027",
"telephone_number": "918-712-4301",
"fax_number": "855-855-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "63489",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mindspa@mindspa.medicalservices.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7302 S Yale Ave",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741367027",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 18, 2019; 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.