Organization Active NPI

Florence House Family Practice, LLC

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1831834902
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FLORENCE HOUSE FAMILY PRACTICE, LLC
Practice address
4444 S Harvard Ave Ste 300
Tulsa, OK 74135-2611
Phone
(918) 992-6400
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Brett Myers
Title
Office Manager
Phone
(918) 527-7065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4444 S Harvard Ave Ste 300
Tulsa, OK 74135-2611

Mailing address

4444 S Harvard Ave Ste 300
Tulsa, OK 74135-2611
Phone (918) 992-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103001115 OK Part B Supplier - Clinic/Group Practice 3173993482 Receives reassigned benefits from 4 practitioners
Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2270823Florence House Family Practice4444 S Harvard Ave, Ste 300, Tulsa, OK 74135Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

4444 S Harvard Ave
Ste 330
Tulsa, OK 74135
Phone (918) 992-6400

4444 S Harvard Ave
Ste 300
Tulsa, OK 74135
Phone (918) 992-6400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1831834902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 S HARVARD AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352611",
            "telephone_number": "918-992-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 S HARVARD AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352611",
            "telephone_number": "918-992-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE HOUSE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-527-7065"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.