Individual provider Active NPI

Todd Kirkland, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1659763845
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106772 Issued in OK
Practice address
8921 S Mingo Rd
Tulsa, OK 74133-5841
Phone
(888) 397-8387
NPI assigned
Feb 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 106772 OK Primary

Addresses

Primary practice location

8921 S Mingo Rd
Tulsa, OK 74133-5841

Mailing address

8921 S Mingo Rd
Tulsa, OK 74133-5841
Phone (888) 397-8387

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
I20150807015008 OK Practitioner - Nurse Practitioner 0446564173 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106772OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provectus Diagnostics LLC CurrentSince Jun 1, 2018 Accepting new patients
Precision Pain Management LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

4110 S 100th East Ave
Ste 201
Tulsa, OK 74146
Phone (918) 857-7246

Organizations & group practices 2

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1659763845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335841",
            "telephone_number": "888-397-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335841",
            "telephone_number": "888-397-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "TODD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "106772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.