Individual provider Active NPI

Sherry Sides, APRN FNP-C

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1902698798
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222944 Issued in OK
Practice address
11011 E 41St St
Tulsa, OK 74146-2714
Phone
(918) 878-7800
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222944 OK Primary

Addresses

Primary practice location

11011 E 41St St
Tulsa, OK 74146-2714

Mailing address

54394 County Road 586
Kansas, OK 74347-1321
Phone (580) 819-1899

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918004673 OK Practitioner - Nurse Practitioner 9234398967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical IncorporatedGroup PAC ID 4587886593, 5 clinicians

Practice addresses (Care Compare)

11011 E 41St St
Tulsa, OK 74146-2714
Phone (918) 878-7800

200 W Britton Rd
Oklahoma City, OK 73114-3626
Phone (405) 755-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
222944OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Incorporated CurrentSince Apr 6, 2025 Accepting new patients
Integrated Medical Incorporated Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Angels of Mercy Home Health Care, Inc. PastSince May 14, 2010 Accepting new patients

Locations

200 W Britton Rd
Oklahoma City, OK 73114
Phone (405) 755-8000

11011 E 41st St
Tulsa, OK 74146
Phone (918) 878-7800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1902698798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54394 COUNTY ROAD 586",
            "city": "KANSAS",
            "state": "OK",
            "postal_code": "743471321",
            "telephone_number": "580-819-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462714",
            "telephone_number": "918-878-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "SHERRY",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "222944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.