Organization Active NPI

High Performance Health LLC

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1679252704
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HIGH PERFORMANCE HEALTH LLC
Practice address
12221 E 51St St Ste a
Tulsa, OK 74146-6216
Phone
(918) 639-4308
NPI assigned
Jul 17, 2023
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Monnica Emerson, APRN-CNPNPI 1669120432
Title
Owner
Phone
(918) 639-4308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

12221 E 51St St Ste a
Tulsa, OK 74146-6216

Mailing address

12221 E 51St St Ste a
Tulsa, OK 74146-6216
Phone (918) 724-5365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240327000966 OK Part B Supplier - Clinic/Group Practice 3577913813 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2284545High Performance Health12221 E 51St St, Ste a, Tulsa, OK 74146Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

12221 E 51st St
Ste A
Tulsa, OK 74146
Phone (918) 249-0627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1679252704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 E 51ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466216",
            "telephone_number": "918-724-5365",
            "fax_number": "949-695-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 E 51ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466216",
            "telephone_number": "918-639-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PERFORMANCE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "MONNICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-639-4308",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.