Holly E Bennett, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

116005 Issued in OK

Practice address

5635 N MLK Jr Blvd
Tulsa, OK 74126-6409

Phone

(918) 398-9460

Fax

(918) 992-2822

NPI assigned

Mar 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.bennett.1@16190.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossover Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1407297963
  Medicare reassignment NPD
• Crossover Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1942958111
  NPD

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1972826659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 N MLK JR BLVD STE 270",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266409",
            "telephone_number": "918-398-9460",
            "fax_number": "918-392-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 N MLK JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266409",
            "telephone_number": "918-398-9460",
            "fax_number": "918-992-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 E 36th St N",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741061953",
            "country_code": "US",
            "telephone_number": "918-398-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "HOLLY",
        "middle_name": "E",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "116005",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024168706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200583130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Bennett
• Bruce Wayne Bennett, M.D.
• Christy Bennett, D.O.
• Dyann Dyer Bennett, MS
• Hallie Bennett
• Jill A Bennett, DMD
• John T Bennett
• Kimberly Jo Bennett, D.O.
• Lisa M Bennett, CRNA
• Natalie Llewelyn Bennett, PA

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.