Individual provider Active NPI

Jaimie Kurian, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1790489847
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202094 Issued in OK
Practice address
4636 S Harvard Ave Ste 1024636S
Tulsa, OK 74135-2908
Phone
(918) 708-1816
NPI assigned
Mar 30, 2023
Last updated
May 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202094 OK Primary

Addresses

Primary practice location

4636 S Harvard Ave Ste 1024636S
Tulsa, OK 74135-2908

Mailing address

4636 S Harvard Ave Ste 1024636S
Tulsa, OK 74135-2908
Phone (918) 708-1816

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
I20230531003357 OK Practitioner - Nurse Practitioner 0345607636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropathy Treatment Clinic of Oklahoma LLCGroup PAC ID 5799025268, 4 clinicians

Practice addresses (Care Compare)

6001 NW 139TH St
Oklahoma City, OK 73142-1919
Phone (405) 347-7390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202094OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L and M Investments LLC CurrentSince Apr 23, 2023 Accepting new patients
Revelation Medical of Tulsa LLC CurrentSince Apr 23, 2023 Accepting new patients
Neuropathy Treatment Clinic of Oklahoma LLC CurrentSince Apr 23, 2023 Accepting new patients
Revelation Medical LLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

6001 NW 139th St
Oklahoma City, OK 73142
Phone (405) 271-4646

4636 S Harvard Ave
Ste 102
Tulsa, OK 74135
Phone (918) 574-6470

4636 S Harvard Ave
Ste 104
Tulsa, OK 74135
Phone (918) 398-8900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1790489847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 S HARVARD AVE STE 1024636S",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-708-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 S HARVARD AVE STE 1024636S",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-708-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIAN",
        "first_name": "JAIMIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "202094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.