Tawna Lynn Pickle, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

205330 Issued in OK

Practice address

400 N Eastern Ave
Moore, OK 73160-5833

Phone

(405) 757-7818

NPI assigned

Sep 7, 2021

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232
• Direct secure messaging: tpickle@jkp.gwaydirect.com
• Direct secure messaging: tpickle485967@direct.integrisok.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integris Health Allset Urgent Care LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1164107256

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Aky MD, LLC

  dba Just Kids Pediatrics

  • Pediatrics Physician
  • Moore, OK
  • NPI 1063846699
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1750050456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605833",
            "telephone_number": "405-757-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605833",
            "telephone_number": "405-757-7818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 Classen Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730714004",
            "country_code": "US",
            "telephone_number": "405-427-4941",
            "fax_number": "405-951-8849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKLE",
        "first_name": "TAWNA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "205330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Phillips
• PHP Ok PC (Primary Health Parnters)
• Neneth Oakley Phung, PA-C
• Physicians Surgical Center LLC (Physicians Surgical Center, an affiliate of HEALTHSOUTH)
• Priscilla Pickens-Larson, DMD
• Drew Tyson Pierce, LPC-CANDIDATE
• April Lynn Pillon
• Crystal Amanda Pitts
• PKL Orthodontics, PC (Sky Ortho)
• Maria Alejandra Plata, MD

• Family Nurse Practitioner in Moore, OK
• Providers in Moore, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.