Individual provider Active NPI

Amanda Sykora, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1871958108
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
94695 Issued in OK
Practice address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone
(800) 939-7440
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 94695 OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Tulsa, OK 74104-4012

Mailing address

6580 Judson Rd
Longview, TX 75605-7076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160111001804 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820390685 Reassigns benefits to 2 organizations
I20211005000636 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820390685 Reassigns benefits to 8 organizations
I20231012002908 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820390685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000

2401 W Main St
HC Hosp Henryetta
Henryetta, OK 74437-3893
Phone (918) 650-1100

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
94695OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jun 29, 2023 Accepting new patients
Mercy Hospital Ozark CurrentSince Mar 20, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 31, 2017 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Mercy Hospital Booneville CurrentSince Mar 20, 2023 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. CurrentSince Aug 16, 2021 Accepting new patients
Mercy Hospital Ozark CurrentSince Mar 20, 2023 Accepting new patients
Mercy Hospital Paris CurrentSince Mar 20, 2023 Accepting new patients
Mercy Hospital Paris CurrentSince Mar 20, 2023 Accepting new patients
Renew Medical Group of Arkansas LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince Mar 20, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 31, 2017 Accepting new patients
Western Arkansas Obstetric Anesthesia LLC CurrentSince Aug 16, 2021 Accepting new patients
Mercy Hospital Booneville Nurse Anesthetist, Certified Registered Current Accepting new patients
Boiling Springs Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1871958108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "800-939-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKORA",
        "first_name": "AMANDA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "94695",
            "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 31, 2015; 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.