Individual provider Active NPI

Kallie Danielle Garrett

  • Acute Care Clinical Nurse Specialist
  • Tulsa, OK
National Provider Identifier
1538777552
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
104112 Issued in OK
Practice address
10505 E 91St St
Tulsa, OK 74133-5801
Phone
(918) 307-5490
Fax
(918) 779-3247
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 104112 OK Primary

Addresses

Primary practice location

10505 E 91St St
Tulsa, OK 74133-5801

Mailing address

20900 S Oqeche
Claremore, OK 74019-1005
Phone (918) 638-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200825000592 OK Practitioner - Nurse Practitioner 6406273382 Reassigns benefits to 3 organizations
I20260122000013 TX Practitioner - Nurse Practitioner 6406273382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aandr Management Services IncGroup PAC ID 7618248105, 13 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

10505 E 91St St
Suite 205
Tulsa, OK 74133-5829
Phone (918) 307-5490

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jan 6, 2026 Accepting new patients
A&R Management Services, Inc. CurrentSince Aug 18, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 6, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 6, 2026 Accepting new patients
Prime Medical Group Corp CurrentSince May 31, 2022 Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients

Locations

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

10505 E 91st St
Ste 205
Tulsa, OK 74133
Phone (708) 724-8599

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

10505 E 91st St
Tulsa, OK 74133
Phone (918) 307-5490

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: kgarrett198548@ahs.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1538777552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20900 S OQECHE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740191005",
            "telephone_number": "918-638-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335801",
            "telephone_number": "918-307-5490",
            "fax_number": "918-779-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "KALLIE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OK",
            "license": "104112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.