Individual provider Active NPI

Tasha Renee Preston, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1811205925
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
78855 Issued in OK
Practice address
1013 15TH Ave NW
Ardmore, OK 73401-1810
Phone
(580) 238-4277
Fax
(866) 290-3285
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 78855 OK Primary
Family Nurse Practitioner 363LF0000X F0910335 OK

Addresses

Primary practice location

1013 15TH Ave NW
Ardmore, OK 73401-1810

Mailing address

1013 15TH Ave NW
Ardmore, OK 73401-1810
Phone (580) 238-4277

Other practice location 1

1720 N Shartel Ave Ste A
Oklahoma City, OK 73103-2100
Phone (405) 494-1915

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
I20180906000303 OK Practitioner - Nurse Practitioner 8123258530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Integrated Care PLCGroup PAC ID 5193113751, 9 clinicians

Practice addresses (Care Compare)

1013 15TH Ave NW
Ardmore, OK 73401-1810
Phone (580) 238-4277

Hospital & facility affiliations

  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0910335OKMDFamily Nurse Practitioner
78855OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Integrated Care PLC Psychiatric/Mental Health CurrentSince Sep 1, 2021 Accepting new patients
Lighthouse Behavioral Wellness Centers Current Accepting new patients
Lighthouse Behavioral Wellness Centers CurrentSince Apr 3, 2020 Accepting new patients
Mental Health Association, Inc. PastSince Mar 24, 2025 Accepting new patients

Locations

2530 S Commerce St
Bldg B
Ardmore, OK 73401
Phone (580) 319-7305

1013 15th Ave NW
Ardmore, OK 73401
Phone (580) 238-4277

830 16th Ave NW
Ardmore, OK 73401
Phone (580) 226-5120

117 B St SW
Ardmore, OK 73401
Phone (580) 226-3750

2760 Washington Dr
Ste 110
Norman, OK 73069
Phone (405) 360-2827

1720 N Shartel Ave
Ste B
Oklahoma City, OK 73103
Phone (405) 449-2323

Interoperability endpoints

  • Direct secure messaging: oklahomaintegratedcare.tashapreston@151396.advancedmd-direct.com
  • Direct secure messaging: tasha.preston.1@30472.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1811205925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-238-4277",
            "fax_number": "866-290-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-238-4277",
            "fax_number": "866-290-3285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 N Shartel Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731032100",
            "country_code": "US",
            "telephone_number": "405-494-1915",
            "fax_number": "405-449-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "TASHA",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "78855",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F0910335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.