Active NPI
Amanda N Schultz, APRN
- Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1851395875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0069163
- Practice address
- 1831 E 71St St
Tulsa, OK 74136-3922 - Phone
- (866) 949-0108
- NPI assigned
- Jun 8, 2005
- Last updated
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0069163 | OK | Primary |
Addresses
Primary practice location
1831 E 71St St
Tulsa, OK 74136-3922
Mailing address
40 S Main St Ste 1300
Memphis, TN 38103-5513
Phone (866) 949-0108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200032680A | Medicaid | OK |
Other names 1
- Amanda N Roderick
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
| License | State | Type | Specialty |
|---|---|---|---|
| R0069163 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nazala Healthcare Inc PC | Past | Accepting new patients | |
| Quick Clinic LLC | Past | Accepting new patients | |
| Lightstar Emergency Physicians, PLLC | Past | Accepting new patients | |
| Best Physicians at Home, Inc | Past | Accepting new patients | |
| Physicians at Home, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4
- ms_aschul24@landmarkhealth-direct.org
Organizations & group practices 5
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.
-
dba Physicians At Home, Inc
- General Practice Physician
- Chandler, OK
- NPI 1447659768
-
- Emergency Medicine Physician
- Shawnee, OK
- NPI 1396736872
-
dba Faith Family Physicians
- General Practice Physician
- Oklahoma City, OK
- NPI 1306205026
-
- Geriatric Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1487824595
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1356412225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1851395875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 S MAIN ST STE 1300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381035513",
"telephone_number": "866-949-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 E 71ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741363922",
"telephone_number": "866-949-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "AMANDA",
"middle_name": "N",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0069163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200032680A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "RODERICK",
"middle_name": "N",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 2, 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.