Individual provider Active NPI

Tiffany Geisler, APRN

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1821580630
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114201 Issued in OK
Practice address
902 E Pine St
Tulsa, OK 74106-5928
Phone
(918) 664-9000
Fax
(918) 585-9266
NPI assigned
Jun 6, 2018
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0114201 OK
Nurse Practitioner 363L00000X 114201 OK Primary

Addresses

Primary practice location

902 E Pine St
Tulsa, OK 74106-5928

Mailing address

2028 Mahaney Ave
Tahlequah, OK 74464-5783
Phone (918) 456-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0114201OKMDRegistered Nurse
114201OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehab LLC CurrentSince Aug 29, 2021 Accepting new patients
Life Pace, Inc. PastSince Aug 29, 2021 Accepting new patients

Locations

902 E Pine St
Tulsa, OK 74106
Phone (918) 664-9000

Interoperability endpoints

  • Direct secure messaging: tiffany.geisler@1082464103694340.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, 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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1821580630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 MAHANEY AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645783",
            "telephone_number": "918-456-0001",
            "fax_number": "918-456-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065928",
            "telephone_number": "918-664-9000",
            "fax_number": "918-585-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISLER",
        "first_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0114201",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "114201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.