Individual provider Active NPI

Andrew Boyd Douthitt, AG-ACNP-BC, FNP-BC

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1801381256
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
M0119224 Issued in OK
Practice address
1145 S Utica Ave Ste 364
Tulsa, OK 74104-4004
Phone
(918) 712-5000
Fax
(918) 712-5003
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-78314-081 KS
Nurse Practitioner 363L00000X M0119224 OK Primary

Addresses

Primary practice location

1145 S Utica Ave Ste 364
Tulsa, OK 74104-4004

Mailing address

6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Phone (918) 712-5000

Other practice location 1

6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Phone (918) 712-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 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
I20180820001831 OK Practitioner - Nurse Practitioner 7911256284 Reassigns benefits to 1 organization
I20180827001006 KS Practitioner - Nurse Practitioner 7911256284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tni-Kso PCGroup PAC ID 2062464399, 20 clinicians

Practice addresses (Care Compare)

1145 S Utica Ave
Suite 364
Tulsa, OK 74104-4004
Phone 9187125000144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78314-081KSMDNurse Practitioner
M0119224OKMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: andrew.douthitt@direct.davitaphysiciansolutions.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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1801381256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 507",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367807",
            "telephone_number": "918-712-5000",
            "fax_number": "918-712-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 364",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044004",
            "telephone_number": "918-712-5000",
            "fax_number": "918-712-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6465 S Yale Ave Ste 507",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367807",
            "country_code": "US",
            "telephone_number": "918-712-5000",
            "fax_number": "918-712-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUTHITT",
        "first_name": "ANDREW",
        "middle_name": "BOYD",
        "credential": "AG-ACNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78314-081",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "M0119224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.