Individual provider Active NPI

Taylor Cierra Tope, PA-C

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1972955185
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2675 Issued in OK
Practice address
6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326
Phone
(918) 491-3762
Fax
(918) 491-5740
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2675 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326

Mailing address

PO Box 707001
Tulsa, OK 74170-7001
Phone (888) 247-0125

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
I20241011001110 OK Practitioner - Physician Assistant 4880982081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
McClure and Associates Psychiatry PLLCGroup PAC ID 6406297415, 6 clinicians

Practice addresses (Care Compare)

6135 S 90TH E Ave
Tulsa, OK 74133-6365
Phone (539) 367-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2675OKMDPhysical Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.taylortope@148561.advancedmd-direct.com

Organizations & group practices 1

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1972955185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707001",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741707001",
            "telephone_number": "888-247-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S YALE AVE",
            "address_2": "LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363326",
            "telephone_number": "918-491-3762",
            "fax_number": "918-491-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPE",
        "first_name": "TAYLOR",
        "middle_name": "CIERRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2675",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.