Active NPI
Jacqueline D Hash, FNP-BC
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209161
- Practice address
- 4812 S 109TH East Ave Ste 101
Tulsa, OK 74146-5829 - Phone
- (918) 748-3103
- NPI assigned
- Mar 30, 2019
- Last updated
- Dec 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95011247 | CA | |
| Family Nurse Practitioner | 363LF0000X | 209161 | OK | Primary |
Addresses
Primary practice location
4812 S 109TH East Ave Ste 101
Tulsa, OK 74146-5829
Mailing address
5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6018
Phone (619) 997-4786
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3105 E Skelly Dr
Suite 310
Tulsa, OK 74105-6371
Phone (918) 954-1083
4812 S 109TH E Ave
Suite 101
Tulsa, OK 74146-5829
Phone (918) 748-3103
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95011247 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Oklahoma, PLLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Nightingale Clinical Care, PC | Current | Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients | |
| Total Renal Care Inc | Past | Accepting new patients |
Locations
902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720
2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252
4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491
510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294
11690 San Pablo Ave
El Cerrito, CA 94530
501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252
3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255
78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494
320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973
4361 Latham St
Ste 270
Riverside, CA 92501
Phone (559) 285-5946
3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506
9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171
555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370
30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
222 SE Debell Ave
Bartlesville, OK 74006
Phone (918) 335-1811
3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280
550 W Shawnee St
Muskogee, OK 74401
Phone (908) 910-5186
1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280
949 E Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6079
4812 S 109th East Ave
Ste 101
Tulsa, OK 74146
Phone (918) 748-3103
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lawton, OK
- NPI 1144625740
-
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1326818329
-
dba Integrity Urgent Care
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
dba Integrity Urgent Care
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- Primary Care Clinic/Center
- Riverside, CA
- NPI 1972159069
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
dba Kelley Corners Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake City, SC
- NPI 1598204802
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
dba Ascension St. John Jenks
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1871054858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 BELFORT RD STE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566018",
"telephone_number": "619-997-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 S 109TH EAST AVE STE 101",
"city": "TULSA",
"state": "OK",
"postal_code": "741465829",
"telephone_number": "918-748-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASH",
"first_name": "JACQUELINE",
"middle_name": "D",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95011247",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "209161",
"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 Dec 10, 2024; 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.