Individual provider Active NPI

Hailey Fialkowski, RN, BSN

  • Nursing Care Agency
  • Tulsa, OK
National Provider Identifier
1427894955
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R0131269 Issued in OK
Practice address
1417 E 46TH St
Tulsa, OK 74105-4761
Phone
(918) 407-3563
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0131269 OK
Home Health Registered Nurse 163WH0200X R0131269 OK
Case Manager/Care Coordinator 171M00000X R0131269 OK
Driver 172A00000X P083075979 OK
Home Health Agency 251E00000X R0131269 OK
Chore Provider 372500000X R0131269 OK
Adult Companion 372600000X R0131269 OK
Attendant Care Provider 3747A0650X R0131269 OK
Personal Care Attendant 3747P1801X R0131269 OK
Home Health Aide 374U00000X R0131269 OK
Homemaker 376J00000X R0131269 OK
Nursing Care Agency 251J00000X R0131269 OK Primary

Addresses

Primary practice location

1417 E 46TH St
Tulsa, OK 74105-4761

Mailing address

1417 E 46TH St
Tulsa, OK 74105-4761
Phone (918) 407-3563

Other practice location 1

1423 E 46th St
Tulsa, OK 74105-4761
Phone (918) 407-3563

Other names 1

  • Mrs. Hailey Simms Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
P083075979OKMDDriver
R0131269OKMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1427894955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054761",
            "telephone_number": "918-407-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054761",
            "telephone_number": "918-407-3563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 E 46th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741054761",
            "country_code": "US",
            "telephone_number": "918-407-3563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIALKOWSKI",
        "first_name": "HAILEY",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OK",
            "license": "P083075979",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OK",
            "license": "R0131269",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OK",
            "license": "R0131269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "SIMMS",
            "prefix": "MRS.",
            "credential": "RN, BSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.