Vineyard Medical Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VINEYARD MEDICAL CARE, LLC

Practice address

11917 S Norwood Ave
Tulsa, OK 74137-5509

Phone

(918) 392-5555

Fax

(918) 392-5566

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kyra Jean Vineyard, D.O.NPI 1225005895

Title

Owner

Phone

(918) 392-5555

Specialties & licenses 2

Addresses

Other names 1

• Vineyard Medical Care Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyra Jean Vineyard, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1225005895
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1699668426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 S NORWOOD AVE # 212",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375509",
            "telephone_number": "918-392-5555",
            "fax_number": "918-392-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 S NORWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375509",
            "telephone_number": "918-392-5555",
            "fax_number": "918-392-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "VINEYARD",
        "authorized_official_first_name": "KYRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-392-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Medical Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Vineyard Medical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Vincent
• Micah Viner
• Lesley V Vines, D,O.
• Vineyard Counseling
• Vineyard Family Care PLLC
• Kyra Jean Vineyard, DO
• Christopher Charles Vinson, D.D.S.
• Corbin R Vinson, DO
• Kristie Lynn Vinson, DDS
• Nancy Vinson

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.