Individual provider Active NPI

Brittiany N Coyer, APRN-CNP

  • Gerontology Nurse Practitioner
  • Sand Springs, OK
National Provider Identifier
1790420073
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
206504 Issued in OK
Practice address
110 N Garfield Ave Ste 300
Sand Springs, OK 74063-7289
Phone
(918) 246-3456
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 206504 OK Primary

Addresses

Primary practice location

110 N Garfield Ave Ste 300
Sand Springs, OK 74063-7289

Mailing address

PO Box 1147
Sand Springs, OK 74063-1147

Other practice location 1

7718 E 91st St Ste 100
Tulsa, OK 74133-6051
Phone (539) 444-9938

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
I20220602002708 OK Practitioner - Nurse Practitioner 2264810241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sand Springs Medical AssociatesGroup PAC ID 9436210580, 9 clinicians

Practice addresses (Care Compare)

110 N Garfield Ave
Suite 300
Sand Springs, OK 74063-7289
Phone (918) 246-3456

PO Box
Suite 1147
Sand Springs, OK 74063-1147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206504OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Springs Medical Associates CurrentSince Jun 1, 2022 Accepting new patients
New Frontier Wound Management LLC CurrentSince Jun 6, 2024 Accepting new patients

Locations

401 E Broadway Ct
Ste A
Sand Springs, OK 74063
Phone (918) 246-3456

110 N Garfield Ave
Ste 300
Sand Springs, OK 74063
Phone (918) 246-3456

3336 E 32nd St
Ste 102
Tulsa, OK 74135
Phone (918) 236-4600

Interoperability endpoints

  • Direct secure messaging: brittiany.coyer@929089266843652.direct.elationemr.com

Organizations & group practices 2

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1790420073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740631147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N GARFIELD AVE STE 300",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637289",
            "telephone_number": "918-246-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7718 E 91st St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336051",
            "country_code": "US",
            "telephone_number": "539-444-9938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYER",
        "first_name": "BRITTIANY",
        "middle_name": "N",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "206504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.