Stacie Marie Cortright, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

201208 Issued in OK

Practice address

5323 S. 65TH West Avenue
Tulsa, OK 74107

Phone

(918) 340-5024

NPI assigned

Mar 9, 2021

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21321/brand/1/csg/1/fhir/r4

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.

• Squareone Compassion Inc

  dba SquareOne Medical Center

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1508493784
  Medicare reassignment NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1598350779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 WHISPERING CREEK DR",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740633175",
            "telephone_number": "918-851-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 S. 65TH WEST AVENUE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74107",
            "telephone_number": "918-340-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTRIGHT",
        "first_name": "STACIE",
        "middle_name": "MARIE",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "201208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacie.cortright.1@2132.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5323 S. 65th West Avenue",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gia T Coronado, BS, AAS, PTA
• Barrett Kyle Corsini, PHARM.D.
• Lindsay N. Corsini, PHARM D.
• Sarah Cortese, RD, LD.
• Daniela Cortopassi
• Camryn Dyan Corwin, PA
• Logan P Corwin
• Ashleigh Dae Coser, MS, MS, BS
• Cosmetic & Vein Center of Oklahoma
• Cosmetic Center of Tulsa LLC (Face and Body Medical Aesthetics and Cosmetic Surgery)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.