Active NPI
Katina Jackson, APRN
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 215992
- Practice address
- 7912 E 31St CT Ste 200
Tulsa, OK 74145-1334 - Phone
- (918) 743-8200
- Fax
- (918) 743-8609
- NPI assigned
- Feb 5, 2024
- Last updated
- Aug 25, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 215992 | OK | Primary |
Addresses
Primary practice location
7912 E 31St CT Ste 200
Tulsa, OK 74145-1334
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
206 E Blue Starr Dr
Claremore, OK 74017-4223
Phone (918) 341-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Family Medical Clinic, LLC | Current | Accepting new patients | |
| Ahs Claremore Regional Hospital, LLC. | Past | Accepting new patients | |
| Harvard Family Physicians P C | Family Medicine | Past | Accepting new patients |
Locations
400 SE Frank Phillips Blvd
Bartlesville, OK 74003
Phone (918) 333-3136
235 W 6th St
Chelsea, OK 74016
Phone (918) 789-3146
206 E Blue Starr Dr
Claremore, OK 74017
Phone (918) 341-4040
Interoperability endpoints
- https://api.platform.athenahealth.com/11499/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
- katina.jackson.1@11499.direct.athenahealth.com
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.
-
- Health Service Clinic/Center
- Claremore, OK
- NPI 1720148851
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1306891288
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1942063714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "727-322-3439",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7912 E 31ST CT STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741451334",
"telephone_number": "918-743-8200",
"fax_number": "918-743-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "KATINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "215992",
"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 Aug 25, 2026; 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.