Active NPI
Harriet Kaliisa, LPN
- Home Health Registered Nurse
- Tulsa, OK
National Provider Identifier
1467967349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- HC8072
- Practice address
- 1831 E 71St St
Tulsa, OK 74136-3922 - Phone
- (918) 829-1721
- Fax
- (918) 578-0082
- NPI assigned
- Dec 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | HC8072 | OK | Primary |
Addresses
Primary practice location
1831 E 71St St
Tulsa, OK 74136-3922
Mailing address
1831 E 71St St
Tulsa, OK 74136-3922
Phone (918) 829-1721
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC8072 | Other | OK | LPN |
| 474886124 | Other | OK | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC8072 | OK | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devine Hospice Home Care LLC | Current | Accepting new patients | |
| Devine Home Health Care Solutions | Current | Accepting new patients | |
| Devine Home Health Care Solutions LLC | Current | Accepting new patients |
Locations
1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940
Organizations & group practices 3
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.
-
- In Home Supportive Care Agency
- Tulsa, OK
- NPI 1447606645
-
- Home Health Agency
- Tulsa, OK
- NPI 1740658863
-
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1861053035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1467967349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 E 71ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741363922",
"telephone_number": "918-829-1721",
"fax_number": "918-578-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 E 71ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741363922",
"telephone_number": "918-829-1721",
"fax_number": "918-578-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIISA",
"first_name": "HARRIET",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OK",
"license": "HC8072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN",
"identifier": "HC8072",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "474886124",
"state": "OK"
}
],
"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 Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.