Active NPI
Tyler Feuerborn, APRN-C
- Primary Care Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 228312
- Practice address
- 1538 N Lewis Ave
Tulsa, OK 74110-2535 - Phone
- (918) 400-7001
- Fax
- (539) 202-5070
- NPI assigned
- Feb 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9407120 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | 228312 | OK | Primary |
| Nurse Practitioner | 363L00000X | 1061932 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN9407120 | FL |
Addresses
Primary practice location
1538 N Lewis Ave
Tulsa, OK 74110-2535
Mailing address
1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 974-9126
Other practice location 1
1918 NE 23rd St
Oklahoma City, OK 73111-3328
Phone (405) 453-8000
Other practice location 2
1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 974-9126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105715700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 S Buckner Blvd
Suite 141
Dallas, TX 75217-1794
Phone (214) 305-7065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9407120 | FL | MD | Adult Health Nurse Practitioner |
| 228312 | OK | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Oak Street Health Physicians Group of Oklahoma, LLC | Nurse Practitioner | Past | Accepting new patients |
| Oak Street Health of Georgia PC | Nurse Practitioner | Past | Accepting new patients |
Locations
1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065
2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071
4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370
1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075
3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358
2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Fort Worth, TX
- NPI 1497387419
Nurse Practitioner
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1538742051
Nurse Practitioner
-
- Primary Care Clinic/Center
- Stone Mountain, GA
- NPI 1588258024
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1366941650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 S BUCKNER BLVD STE 141",
"city": "DALLAS",
"state": "TX",
"postal_code": "752171794",
"telephone_number": "214-974-9126",
"fax_number": "469-574-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1538 N LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741102535",
"telephone_number": "918-400-7001",
"fax_number": "539-202-5070"
}
],
"practiceLocations": [
{
"address_1": "1918 NE 23rd St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731113328",
"country_code": "US",
"telephone_number": "405-453-8000",
"fax_number": "405-561-4984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 S Buckner Blvd Ste 141",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752171794",
"country_code": "US",
"telephone_number": "214-974-9126",
"fax_number": "469-574-0383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEUERBORN",
"first_name": "TYLER",
"name_prefix": "Mr.",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9407120",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "228312",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1061932",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN9407120",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105715700",
"state": "FL"
}
],
"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 May 13, 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.
- 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.