Individual provider Active NPI

Melissa Taylor, APRN, FNP-C

  • Family Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1528501160
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207681 Issued in OK
Practice address
1601 W Utica St
Broken Arrow, OK 74011-1600
Phone
(918) 361-9458
NPI assigned
Nov 30, 2016
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 207681 OK Primary
Lactation Consultant (Registered Nurse) 163WL0100X 80878 OK

Addresses

Primary practice location

1601 W Utica St
Broken Arrow, OK 74011-1600

Mailing address

1601 W Utica St
Broken Arrow, OK 74011-1600
Phone (918) 361-9458

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
I20221123000516 OK Practitioner - Nurse Practitioner 3476921479 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care, LLCGroup PAC ID 9234565110, 6 clinicians
Access Pain SolutionsGroup PAC ID 2668620220, 13 clinicians

Practice addresses (Care Compare)

11426 N 134TH E Ave
Owasso, OK 74055-4715
Phone (918) 727-2273

4750 S Garnett Rd
Tulsa, OK 74146-5222
Phone (918) 710-4112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80878OKMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Access Solutions Medical Group II CurrentSince Nov 8, 2023 Accepting new patients
Access Medical Affordable Family Healthcare, LLC CurrentSince Nov 8, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jun 28, 2023 Accepting new patients
Access Pain Solutions CurrentSince Nov 8, 2023 Accepting new patients
Asmg Sand Springs CurrentSince Nov 8, 2023 Accepting new patients
On Demand Urgent Care, LLC CurrentSince Aug 10, 2022 Accepting new patients

Locations

3401 W Broadway St
Muskogee, OK 74401
Phone (918) 687-5477

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

100 W 7th St
Ste 100
Okmulgee, OK 74447
Phone (918) 759-2200

11426 N 134th East Ave
Owasso, OK 74055
Phone (918) 376-6345

3905 S Highway 97
Sand Springs, OK 74063
Phone (918) 245-7500

4750 S Garnett Rd
Tulsa, OK 74146
Phone (539) 812-2100

6030 S 66th East Ave
Tulsa, OK 74145
Phone (918) 494-8666

7901 S Sheridan Rd
Tulsa, OK 74133
Phone (918) 492-0412

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: melissa.taylor.1@21305.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1528501160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W UTICA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111600",
            "telephone_number": "918-361-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W UTICA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111600",
            "telephone_number": "918-361-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MELISSA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207681",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OK",
            "license": "80878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.