Individual provider Active NPI

Tierra Page, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1487015475
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R0088907 Issued in OK
Practice address
1330 N Classen Blvd Ste 116
Oklahoma City, OK 73106-6834
Phone
(405) 209-2083
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 88907 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R0088907 OK Primary

Addresses

Primary practice location

1330 N Classen Blvd Ste 116
Oklahoma City, OK 73106-6834

Mailing address

9325 Emily LN
Midwest City, OK 73130-4330
Phone (405) 209-2083

Other practice location 1

12716 N.E. 36th Street
Oklahoma City, OK 73140
Phone (405) 769-3301

Other identifiers 1

IdentifierTypeStateIssuer
88907OtherOKOBN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107000920 OK Practitioner - Nurse Practitioner 3577841956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homecare Advisors LLCGroup PAC ID 3173877362, 33 clinicians

Practice addresses (Care Compare)

1330 N Classen Blvd
Suite 116
Oklahoma City, OK 73106-6834
Phone (405) 953-6888

2701 W University Blvd
Durant, OK 74701-2997
Phone (580) 740-4053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
88907OKMDFamily Nurse Practitioner
R0088907OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Oklahoma Family Services, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Southeastern Oklahoma Family Services, Inc CurrentSince Sep 23, 2024 Accepting new patients
Community Health Centers Inc. CurrentSince Mar 30, 2020 Accepting new patients
Community Health Centers, Inc. CurrentSince Mar 30, 2020 Accepting new patients
Homecare Advisors LLC CurrentSince Jan 8, 2023 Accepting new patients
Collective Health & Wellness CurrentSince Oct 21, 2024 Accepting new patients

Locations

2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053

1600 N D St
McAlester, OK 74501
Phone (918) 423-2559

1200 S Air Depot Blvd
Ste O
Midwest City, OK 73110
Phone (405) 931-9811

5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028

1330 N Classen Blvd
Ste 116
Oklahoma City, OK 73106
Phone (405) 209-9546

12716 NE 36th St
Spencer, OK 73084
Phone (405) 466-2535

Interoperability endpoints

  • Direct secure messaging: tpage@chciokc.directbygreenway.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1487015475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 EMILY LN",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731304330",
            "telephone_number": "405-209-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE 116",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066834",
            "telephone_number": "405-209-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12716 N.E. 36th Street",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73140",
            "country_code": "US",
            "telephone_number": "405-769-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "TIERRA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88907",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0088907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBN",
            "identifier": "88907",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.