Organization Active NPI

Novastar Express Care LLC

  • Urgent Care Clinic/Center
  • Tulsa, OK
National Provider Identifier
1386420149
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NOVASTAR EXPRESS CARE LLC
Practice address
5046 N Peoria Ave Ste 200
Tulsa, OK 74126-3446
Phone
(918) 344-1631
Fax
(539) 424-5946
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mrs. Natalie Jones, FAMILY NURSE PRACTITNPI 1336518786
Title
Owner/Provider
Phone
(918) 344-1631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5046 N Peoria Ave Ste 200
Tulsa, OK 74126-3446

Mailing address

5046 N Peoria Ave Ste 200
Tulsa, OK 74126-3446
Phone (918) 344-1631

Other names 1

  • NovaStar Express Care LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240514001852 OK Part B Supplier - Clinic/Group Practice 6709227382 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

5046 N Peoria Ave
Ste 200
Tulsa, OK 74126
Phone (539) 424-5943

5001 N Peoria Ave
Tulsa, OK 74126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1386420149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 N PEORIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741263446",
            "telephone_number": "918-344-1631",
            "fax_number": "539-424-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 N PEORIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741263446",
            "telephone_number": "918-344-1631",
            "fax_number": "539-424-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVASTAR EXPRESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "918-344-1631",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FAMILY NURSE PRACTIT"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaStar Express Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.