Active NPI
Krystle Renee O'Dowd, APRN-CNP
- Nurse Practitioner
- Bartlesville, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 206196
- Practice address
- 6006 SE Adams Blvd
Bartlesville, OK 74006-8960 - Phone
- (918) 331-0550
- NPI assigned
- Dec 9, 2021
- Last updated
- Oct 20, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 206196 | OK | Primary |
Addresses
Primary practice location
6006 SE Adams Blvd
Bartlesville, OK 74006-8960
Mailing address
7128 S Canton Ave
Tulsa, OK 74136-6303
Phone (918) 695-9294
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www20.pointclickcare.com |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071
2621 E 38TH St
Tulsa, OK 74105-8206
Phone (708) 724-8599
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206196 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Prime Medical Group Corp | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Prime Physician Staffing 3 LLC | Current | Accepting new patients |
Locations
6006 SE Adams Blvd
Bartlesville, OK 74006
Phone (405) 843-5855
10020 E 91st St
Tulsa, OK 74133
Phone (918) 720-7046
3219 S 79th East Ave
Tulsa, OK 74145
Phone (833) 524-2400
744 W 9th St
Fl 5
Tulsa, OK 74127
Phone (918) 932-3700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Tulsa, OK
- NPI 1063153369
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Hospitalist Physician
- Bartlesville, OK
- NPI 1831840958
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1922767631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7128 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366303",
"telephone_number": "918-695-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6006 SE ADAMS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740068960",
"telephone_number": "918-331-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DOWD",
"first_name": "KRYSTLE",
"middle_name": "RENEE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "206196",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www20.pointclickcare.com",
"affiliation": "N",
"address_1": "6006 SE Adams Blvd",
"city": "Bartlesville",
"state": "OK",
"country_code": "US",
"postal_code": "740068960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.