Holly Jeanne Fullbright, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

129126 Issued in OK

Practice address

1145 S Utica Ave Ste 460
Tulsa, OK 74104-4041

Phone

(918) 579-5749

Fax

(918) 579-5762

NPI assigned

Aug 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Jeanne Hendrian Former name

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tulsa Hospitalists IncGroup PAC ID 5698664894, 6 clinicians

Thi Specialists LLCGroup PAC ID 6103118153, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Surgical Hospital, LLC Hospital, Tulsa, OK, CCN 370210
• Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hhendrian171228@ahs.direct-ci.com

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.

• Thi Specialists LLC

  • Infectious Disease Physician
  • Tulsa, OK
  • NPI 1952763922
  Medicare reassignment Care Compare group NPD
• Tulsa Hospitalists Inc

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1659397081
  Medicare reassignment Care Compare group NPD

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

• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1003039488
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1144228487
  Care Compare affiliation

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1568916740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044041",
            "telephone_number": "918-579-5749",
            "fax_number": "918-579-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044041",
            "telephone_number": "918-579-5749",
            "fax_number": "918-579-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLBRIGHT",
        "first_name": "HOLLY",
        "middle_name": "JEANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "129126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HENDRIAN",
            "middle_name": "JEANNE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Fuhr, DO
• Taylor Fulbright
• Venus Amber Fulghum
• Full Armor Chiropractic, LLC
• Full Life Behavioral Systems, Inc.
• Alen Munson Fuller, M.D.
• Aundra Lamar Fuller
• Carl Fuller Jr., LMSW
• Cynthia J. Fuller, M.D.
• Jennifer Kathryn Fuller, MA, LPC

• Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.