Individual provider Active NPI

Telisha Rene Nelson, AUD

  • Audiologist
  • Tulsa, OK
National Provider Identifier
1427118017
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
189 Issued in OK
Practice address
9202 S Toledo Ave
Tulsa, OK 74137-2720
Phone
(918) 493-3133
Fax
(918) 493-2322
NPI assigned
Dec 12, 2006
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 189 OK Primary

Addresses

Primary practice location

9202 S Toledo Ave
Tulsa, OK 74137-2720

Mailing address

9202 S Toledo Ave
Tulsa, OK 74137-2720
Phone (918) 493-3133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000824 OK Practitioner - Qualified Audiologist 6103990726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9202 S Toledo Ave
Audiology Doctors of Tulsa
Tulsa, OK 74137-2720
Phone (918) 493-3133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
189OKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Doctors of Tulsa PLLC Audiologist CurrentSince Sep 7, 2007 Accepting new patients
Hunt Spinal Care PLLC PastSince May 29, 2022 Accepting new patients

Locations

7614 E 91st St
Ste 160
Tulsa, OK 74133
Phone (918) 459-0333

9202 S Toledo Ave
Tulsa, OK 74137
Phone (918) 493-3133

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1427118017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372720",
            "telephone_number": "918-493-3133",
            "fax_number": "918-493-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372720",
            "telephone_number": "918-493-3133",
            "fax_number": "918-493-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TELISHA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.