Tailor Hastings, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4935 Issued in OK

Practice address

9003 N Garnett Rd
Owasso, OK 74055-4495

Phone

(918) 272-2882

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• AMC Urgent Care Plus, LLC

  • General Practice Physician
  • Ponca City, OK
  • NPI 1285644153
  Medicare reassignment
• Triad Complete Healthcare A06 LLC

  • Primary Care Clinic/Center
  • Stillwater, OK
  • NPI 1932809738
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1386319101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 S PARKVIEW ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740205770",
            "telephone_number": "918-327-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 N GARNETT RD",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554495",
            "telephone_number": "918-272-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 S Parkview St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OK",
            "postal_code": "740205770",
            "country_code": "US",
            "telephone_number": "918-327-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "TAILOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doug Allan Harrell
• Emily Harry
• Sharon Harry
• Heather Lee Hartman, O.T.
• Patricia Ann Hartmuller, MA, LPC, LMFT,LADC
• Baylee Hattabaugh
• Veronica Hausher
• Hunter Haws
• Marci Hayhurst
• Kelsey Michelle Haynes

• Physician Assistant in Owasso, OK
• Providers in Owasso, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.

Verify at the official NPI Registry.