Active NPI
Halle Samantha Nolen
- Community Health Worker
- Sapulpa, OK
National Provider Identifier
1881460368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 23 E Ross Ave
Sapulpa, OK 74066-6423 - Phone
- (918) 227-2016
- Fax
- (918) 227-1125
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
23 E Ross Ave
Sapulpa, OK 74066-6423
Mailing address
6745 S 69TH East Ave
Tulsa, OK 74133-1737
Phone (918) 257-9083
Other practice location 1
8925 State Hwy. 66
Tulsa, OK 74131
Phone (918) 347-2003
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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 Creoks Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
- NPI 1083298897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1881460368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6745 S 69TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741331737",
"telephone_number": "918-257-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 E ROSS AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740666423",
"telephone_number": "918-227-2016",
"fax_number": "918-227-1125"
}
],
"practiceLocations": [
{
"address_1": "8925 State Hwy. 66",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74131",
"country_code": "US",
"telephone_number": "918-347-2003",
"fax_number": "918-347-2005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLEN",
"first_name": "HALLE",
"middle_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.