Individual provider Active NPI

Julianne Cammack, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1821816265
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220042 Issued in OK
Practice address
7134 S Yale Ave Ste 500
Tulsa, OK 74136-6352
Phone
(918) 392-4763
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 220042 OK Primary

Addresses

Primary practice location

7134 S Yale Ave Ste 500
Tulsa, OK 74136-6352

Mailing address

4913 E 26TH PL
Tulsa, OK 74114-4926
Phone (918) 261-7932

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
I20250108000527 OK Practitioner - Nurse Practitioner 1850829698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Luiskutty MD PLCGroup PAC ID 1658652979, 10 clinicians

Practice addresses (Care Compare)

7134 S Yale Ave
Suite 500
Tulsa, OK 74136-6352
Phone (918) 392-4763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220042OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Luiskutty MD PLC CurrentSince Jan 5, 2025 Accepting new patients
Arvid Lade MD PLC CurrentSince Jan 1, 2025 Accepting new patients
Digital Diagnostic Solutions LLC PastSince Nov 2, 2015 Accepting new patients

Locations

7134 S Yale Ave
Ste 500
Tulsa, OK 74136
Phone (918) 392-4763

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1821816265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 E 26TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741144926",
            "telephone_number": "918-261-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366352",
            "telephone_number": "918-392-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMACK",
        "first_name": "JULIANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.