Individual provider Active NPI

Talisha Nichols, APRN

  • Family Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1821564212
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
109621 Issued in OK
Practice address
1001 S 41St St E
Muskogee, OK 74403-6253
Phone
(918) 781-6500
NPI assigned
Oct 23, 2018
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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 109621 OK Primary

Addresses

Primary practice location

1001 S 41St St E
Muskogee, OK 74403-6253

Mailing address

25860 S Ridgeview Dr
Claremore, OK 74019-2399
Phone (918) 352-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20190211000412 TX Practitioner - Nurse Practitioner 4486992880 Reassigns benefits to 1 organization
I20210617003034 OK Practitioner - Nurse Practitioner 4486992880 Reassigns benefits to 3 organizations

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
Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109621OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Medical Group Inc CurrentSince Feb 14, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jul 1, 2021 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Oct 1, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jul 1, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jan 5, 2026 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

2036 S Miller Ln
Ste F
Catoosa, OK 74015
Phone (918) 286-6331

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

9001 S 101st East Ave
Ste 190
Tulsa, OK 74133
Phone (918) 392-9670

Dept 1206
Tulsa, OK 74182

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1821564212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25860 S RIDGEVIEW DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740192399",
            "telephone_number": "918-352-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 41ST ST E",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744036253",
            "telephone_number": "918-781-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TALISHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "109621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.