Individual provider Active NPI

Meagan Kay Meffert, APRN-CNP-,FNP-C

  • Family Nurse Practitioner
  • Catoosa, OK
National Provider Identifier
1649990722
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
208378 Issued in OK
Practice address
1818 N.Hwy 66 Ste B
Catoosa, OK 74015
Phone
(918) 419-0860
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 208378 OK Primary

Addresses

Primary practice location

1818 N.Hwy 66 Ste B
Catoosa, OK 74015

Mailing address

1213 Canton St
Broken Arrow, OK 74012
Phone (918) 787-1584

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL destinyurgentcare@outlook.com destiny urgent care

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
I20230228002447 OK Practitioner - Nurse Practitioner 3072986793 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Urgent & Health Care LLC CurrentSince Mar 1, 2023 Accepting new patients
Mind Rejuvenation, LLC. CurrentSince Jan 10, 2024 Accepting new patients
Allergy Asthma and Immunology Center PC CurrentSince Jan 10, 2024 Accepting new patients

Locations

3352 E 51st St
Tulsa, OK 74135
Phone (539) 867-4881

7307 S Yale Ave
Ste 200
Tulsa, OK 74136
Phone (918) 392-4550

Organizations & group practices 3

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1649990722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 CANTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-787-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N.HWY 66 STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "74015",
            "telephone_number": "918-419-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFERT",
        "first_name": "MEAGAN",
        "middle_name": "KAY",
        "credential": "APRN-CNP-,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "208378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "destinyurgentcare@outlook.com",
            "affiliation": "Y",
            "affiliationName": "destiny urgent care",
            "address_1": "1818 N.Hwy 66 Ste B",
            "city": "Catoosa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Catoosa, OK

Sources for this page

Verify at the official NPI Registry.