Active NPI
Hailey Fialkowski, RN, BSN
- Nursing Care Agency
- Tulsa, OK
National Provider Identifier
1427894955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- R0131269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P083075979 | OK | MD | Driver |
| R0131269 | OK | MD | Home 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.