Individual provider Active NPI

Reanna Harris

  • Family Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1619863545
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223739 Issued in OK
Practice address
1215 N Birch Ave
Broken Arrow, OK 74012-2690
Phone
(918) 960-0926
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 223739 OK Primary

Addresses

Primary practice location

1215 N Birch Ave
Broken Arrow, OK 74012-2690

Mailing address

1215 N Birch Ave
Broken Arrow, OK 74012-2690
Phone (918) 960-0926

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
I20250814001250 OK Practitioner - Nurse Practitioner 1456850874 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooted Remedies, LLCGroup PAC ID 7012416472, 2 clinicians
Pure Flow Wellness LLCGroup PAC ID 7810496221, 2 clinicians
Hillcrest Urgent Care, LLCGroup PAC ID 6608393715, 41 clinicians

Practice addresses (Care Compare)

1215 N Birch Ave
Broken Arrow, OK 74012-2690
Phone (918) 960-0926

2929 S Garnett Rd
Tulsa, OK 74129-5101
Phone (918) 665-1520

Hospital & facility affiliations

  • Ascension St John Rehab Hospital of Broken Arrow Inpatient rehabilitation facility, Broken Arrow, OK, CCN 373034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223739OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Remedies LLC CurrentSince Jun 27, 2025 Accepting new patients
Pure Flow Wellness LLC CurrentSince Jun 18, 2025 Accepting new patients
Hillcrest Urgent Care, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1200 W Albany St
Broken Arrow, OK 74012
Phone (918) 744-2338

1215 N Birch Ave
Broken Arrow, OK 74012
Phone (918) 960-0926

13402 E 86th St N
Owasso, OK 74055
Phone (918) 779-5550

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

1623 S Utica Ave
Tulsa, OK 74104
Phone (918) 392-5100

Dept 2184
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: reanna.harris.2@33810.direct.athenahealth.com
  • Direct secure messaging: rragsdale140916@ahs.direct-ci.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 and National Provider Directory roles.

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1619863545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N BIRCH AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122690",
            "telephone_number": "918-960-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N BIRCH AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122690",
            "telephone_number": "918-960-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "REANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "223739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.