Active NPI
Katy E. Trotter, APN
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A03347
- Practice address
- 5555 E 71St St Ste 7250
Tulsa, OK 74136-6554 - Phone
- (918) 492-4999
- Fax
- (918) 492-4998
- NPI assigned
- Apr 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0123891 | OK | |
| Family Nurse Practitioner | 363LF0000X | A03347 | AR | Primary |
Addresses
Primary practice location
5555 E 71St St Ste 7250
Tulsa, OK 74136-6554
Mailing address
5555 E 71St St Ste 7250
Tulsa, OK 74136-6554
Phone (918) 492-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181816758 | Medicaid | AR |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5555 E 71St St
Suite 7250
Tulsa, OK 74136-6554
Phone (918) 492-8301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03347 | AR | MD | Family Nurse Practitioner |
| R0123891 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Rejuvenation, LLC. | Current | Accepting new patients | |
| Southside Dermatology PLLC | Current | Accepting new patients | |
| Midtown Surgical and Skin Institute PLLC | Current | Accepting new patients | |
| Southside Dermatology PLLC | Current | Accepting new patients | |
| KCT Health Care PLLC | Current | Accepting new patients | |
| Cooper Clinic PA | Past | Accepting new patients |
Locations
720 W 71st St
Tulsa, OK 74132
Phone (918) 760-0700
5801 E 41st St
Ste 200
Tulsa, OK 74135
Phone (918) 293-9966
6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333
5555 E 71st St
Ste 7250
Tulsa, OK 74136
Phone (918) 492-8301
1516 S Yorktown Pl
Tulsa, OK 74104
Phone (918) 712-8888
7307 S Yale Ave
Ste 200
Tulsa, OK 74136
Phone (918) 392-4550
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00426
- https://api.platform.athenahealth.com/19882/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Dermatology Physician
- Tulsa, OK
- NPI 1063289122
-
- Dermatology Physician
- Tulsa, OK
- NPI 1750877072
-
- Surgery Physician
- Tulsa, OK
- NPI 1912567611
-
- Psychiatry Physician
- Tulsa, OK
- NPI 1811527518
-
- Dermatology Physician
- Broken Arrow, OK
- NPI 1073263380
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1154341931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1386969467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 E 71ST ST STE 7250",
"city": "TULSA",
"state": "OK",
"postal_code": "741366554",
"telephone_number": "918-492-4999",
"fax_number": "918-492-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 E 71ST ST STE 7250",
"city": "TULSA",
"state": "OK",
"postal_code": "741366554",
"telephone_number": "918-492-4999",
"fax_number": "918-492-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTER",
"first_name": "KATY",
"middle_name": "E.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0123891",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A03347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181816758",
"state": "AR"
}
],
"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 Feb 21, 2024; 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.