Individual provider Active NPI

Whitney Marie Burk, RN, BSN, MSN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1699159988
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
102281 Issued in OK
Practice address
1717 S Utica Ave Ste a
Tulsa, OK 74104-5346
Phone
(918) 748-1300
Fax
(918) 403-0383
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004552 AR
Family Nurse Practitioner 363LF0000X 102281 OK Primary

Addresses

Primary practice location

1717 S Utica Ave Ste a
Tulsa, OK 74104-5346

Mailing address

PO Box 315
Chouteau, OK 74337-0315
Phone (918) 476-6030

Other practice location 1

108 W Main Street
Chouteau, OK 74337-2842
Phone (918) 476-6030

Other identifiers 1

IdentifierTypeStateIssuer
200608500AMedicaidOK

Other names 1

  • Ms. Whitney Marie Ingram Other name

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
I20151202000052 OK Practitioner - Nurse Practitioner 8224338975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians
St John Urgent Care Clinics IncGroup PAC ID 5890898084, 29 clinicians

Practice addresses (Care Compare)

1021 E Bryan Ave
Sapulpa, OK 74066-4512
Phone (918) 227-1000

1717 S Utica Ave
Suite a
Tulsa, OK 74104-5346
Phone (918) 748-1300

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
A004552ARMDFamily Nurse Practitioner
102281OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St John Urgent Care Clinics Inc CurrentSince Nov 1, 2023 Accepting new patients
St. John Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
St. John Physicians, Inc CurrentSince Oct 1, 2024 Accepting new patients
Omni Medical Group Inc CurrentSince Jul 20, 2025 Accepting new patients
Kroeker Medical Incorporated Past Accepting new patients
Owasso Medical Facility, Inc Past Accepting new patients

Locations

1205 W Main St
Collinsville, OK 74021
Phone (918) 371-2547

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

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 8

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1699159988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743370315",
            "telephone_number": "918-476-6030",
            "fax_number": "918-476-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S UTICA AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045346",
            "telephone_number": "918-748-1300",
            "fax_number": "918-403-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Main Street",
            "address_purpose": "LOCATION",
            "city": "Chouteau",
            "state": "OK",
            "postal_code": "743372842",
            "country_code": "US",
            "telephone_number": "918-476-6030",
            "fax_number": "918-476-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURK",
        "first_name": "WHITNEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "102281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200608500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "INGRAM",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "APRN CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.