NPIMap

Individual provider Active NPI

Amelia Brooke Tinnin, CNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1821751694
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
206646 Issued in OK
Practice address
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone
(405) 896-8058
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 206646 OK Primary

Addresses

Primary practice location

101 W Hefner Rd
Oklahoma City, OK 73114-6631

Mailing address

2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (516) 719-5225

Other practice location 1

2910 Adams Rd
Norman, OK 73069-1023
Phone (877) 247-7868

Other practice location 2

3209 S Broadway Ste 229
Edmond, OK 73013-4064
Phone (516) 719-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505000470 OK Practitioner - Nurse Practitioner 2860889110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

3209 S Broadway
Suite 229
Edmond, OK 73013-4064
Phone (551) 295-8223

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ II PC CurrentSince Jul 30, 2025 Accepting new patients
Ennoble HC NJ III PC CurrentSince Jul 30, 2025 Accepting new patients
Ennoble HC NJ PC CurrentSince Sep 1, 2024 Accepting new patients
Physician Housecalls LLC CurrentSince Aug 15, 2023 Accepting new patients
Care Pathways, LLC CurrentSince Apr 19, 2022 Accepting new patients
Apex Wound Specialists LLC CurrentSince Jun 11, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223

2910 Adams Rd
Norman, OK 73069
Phone (877) 247-7868

2401 Tee Cir
Ste 207
Norman, OK 73069
Phone (405) 928-2727

2910 Adams Rd
Ste 110
Norman, OK 73069
Phone (405) 928-2727

101 W Hefner Rd
#100
Oklahoma City, OK 73114

101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058

7233 S 85th East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 720-4957

8211 E Regal Pl
Tulsa, OK 74133
Phone (918) 740-9476

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 11

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1821751694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "516-719-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146631",
            "telephone_number": "405-896-8058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Adams Rd",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730691023",
            "country_code": "US",
            "telephone_number": "877-247-7868",
            "fax_number": "405-342-0922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3209 S Broadway Ste 229",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730134064",
            "country_code": "US",
            "telephone_number": "516-719-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINNIN",
        "first_name": "AMELIA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "206646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.