Active NPI
Huong M Doan
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0101560
- Practice address
- 4103 S Yale Ave Ste B
Tulsa, OK 74135-6002 - Phone
- (918) 382-7300
- Fax
- (918) 382-7302
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0101560 | OK | Primary |
Addresses
Primary practice location
4103 S Yale Ave Ste B
Tulsa, OK 74135-6002
Mailing address
17100 Barcelona Dr
Oklahoma City, OK 73170-6693
Phone (405) 921-0993
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4103 S Yale Ave
Tulsa, OK 74135-6002
Phone (918) 495-4110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Services | Current | Accepting new patients | |
| Creoks Mental Health Services | Single Specialty | Current | Accepting new patients |
| Signify Health, LLC | Single Specialty | Current | Accepting new patients |
| Creoks Mental Health Services | Current | Accepting new patients |
Locations
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1841311289
Single Specialty
-
- Community/Behavioral Health Agency
- Tahlequah, OK
- NPI 1043331499
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1710583372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1861915324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 BARCELONA DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731706693",
"telephone_number": "405-921-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 S YALE AVE STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741356002",
"telephone_number": "918-382-7300",
"fax_number": "918-382-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "HUONG",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0101560",
"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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.