Individual provider Active NPI

Katina Jackson, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1942063714
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215992 Issued in OK
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016002484 OK Practitioner - Nurse Practitioner 0648767228 Reassigns benefits to 1 organization

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
Generations Family Medical Clinic LLCGroup PAC ID 9032218029, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Generations Family Medical Clinic, LLC CurrentSince Aug 1, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/11499/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.