Headache Specialists of Oklahoma PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

HEADACHE SPECIALISTS OF OKLAHOMA PLLC

Practice address

1516 S Yorktown PL
Tulsa, OK 74104-4918

Phone

(918) 574-8725

Fax

(918) 574-8861

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn R Duvall, MDNPI 1740541473

Title

Physician

Phone

(918) 574-8725

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27261/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Jaclyn Duvall, MD

  • Neurology Physician
  • Tulsa, OK
  • NPI 1740541473
  Medicare reassignment NPD Authorized official
• Sarah Renea Gilbert, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1417453853
  Medicare reassignment NPD
• Katherine McLaughlin, APRN-CNP

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1548662612
  Medicare reassignment NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1417685538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S YORKTOWN PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044918",
            "telephone_number": "918-574-8725",
            "fax_number": "918-574-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S YORKTOWN PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044918",
            "telephone_number": "918-574-8725",
            "fax_number": "918-574-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE SPECIALISTS OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-574-8725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444390B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@headachespecialistsofoklahoma.com",
            "affiliation": "N",
            "address_1": "1516 S Yorktown Pl",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741044918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Hazlitt
• Andrew Zhou He, DO
• James Levi Head Jr.
• Jessica Lee Head
• Lynda Elizabeth Head, RT, RDMS, RVS
• Travis Lamont Headd, BS
• Headway Occupational Therapy, LLC
• Erica Healey, M.ED., LPC
• Healing Edge Medical Group Ok PC Inc
• Healing Foundation LLC

• Neurology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.