Individual provider Active NPI

Damaris Deutsch, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1699862573
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R0056401 Issued in OK
Practice address
4612 S Harvard Ave
Ste a
Tulsa, OK 74135-2908
Phone
(918) 747-5565
Fax
(918) 747-5568
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R0056401 OK Primary

Addresses

Primary practice location

4612 S Harvard Ave
Ste a
Tulsa, OK 74135-2908

Mailing address

4612 S Harvard Ave
Ste a
Tulsa, OK 74135-2908
Phone (918) 747-5565

Other identifiers 1

IdentifierTypeStateIssuer
20000142073MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050204000814 OK Practitioner - Nurse Practitioner 2163473208 Reassigns benefits to 2 organizations
I20141106001423 TX Practitioner - Nurse Practitioner 2163473208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR South Tulsa LLCGroup PAC ID 1355870312, 2 clinicians

Practice addresses (Care Compare)

9101 S Toledo Ave
Suite a
Tulsa, OK 74137-2719
Phone (918) 398-0802

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0056401OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Mind Spa LLC Psychiatric/Mental Health CurrentSince Aug 20, 2015 Accepting new patients
Cherokee Nation Current Accepting new patients
NR South Tulsa LLC CurrentSince Jan 27, 2025 Accepting new patients
Cherokee Nation CurrentSince Oct 20, 2014 Accepting new patients
Cherokee Nation CurrentSince Oct 20, 2014 Accepting new patients
Tulsa Wellness Management, LLC Past Accepting new patients
Michael C Liddell DO PLLC Psychiatric/Mental Health PastSince Dec 1, 2010 Accepting new patients

Locations

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

3705 NW 63rd St
Ste 200
Oklahoma City, OK 73116
Phone (405) 463-6700

3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

9101 S Toledo Ave
Ste A
Tulsa, OK 74137
Phone (918) 398-0802

Dept 2269
Tulsa, OK 74182

7302 S Yale Ave
Tulsa, OK 74136
Phone (918) 392-4530

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 8

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1699862573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 S HARVARD AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-747-5565",
            "fax_number": "918-747-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 S HARVARD AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-747-5565",
            "fax_number": "918-747-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "DAMARIS",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0056401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20000142073",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.