Individual provider Active NPI

Michaelle L Holbird

  • Family Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1548822794
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113173 Issued in OK
Practice address
10306 N 138TH East Ave Ste 205
Owasso, OK 74055-4679
Phone
(918) 401-4900
Fax
(918) 609-6066
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113173 OK Primary

Addresses

Primary practice location

10306 N 138TH East Ave Ste 205
Owasso, OK 74055-4679

Mailing address

10306 N 138TH East Ave Ste 205
Owasso, OK 74055-4679
Phone (918) 401-4900

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
I20200309000252 OK Practitioner - Nurse Practitioner 4385072230 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113173OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. Current Accepting new patients
St. John Physicians, Inc CurrentSince Jan 5, 2022 Accepting new patients
NP on Call, LLC Current Accepting new patients
Omni Medical Group Inc CurrentSince Jan 20, 2020 Accepting new patients

Locations

1910 S Falcon Ave
Claremore, OK 74019
Phone (918) 341-1000

12455 E 100th St N
Ste 350
Owasso, OK 74055
Phone (918) 274-5510

10306 N 138th East Ave
Ste 205
Owasso, OK 74055
Phone (918) 401-4900

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 4

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1548822794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE STE 205",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554679",
            "telephone_number": "918-401-4900",
            "fax_number": "918-609-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE STE 205",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554679",
            "telephone_number": "918-401-4900",
            "fax_number": "918-609-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBIRD",
        "first_name": "MICHAELLE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "113173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.