Active NPI
Nataly Monserrath Vasquez Encalada, M.D
- Pulmonary Disease Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 32614
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136 - Phone
- (918) 502-1900
- Fax
- (918) 494-6303
- NPI assigned
- Jul 26, 2011
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 32614 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136
Mailing address
6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361
Phone (918) 488-6045
Other practice location 1
1 Hospital Dr
DC 043.00
Columbia, MO 65212-1000
Phone (573) 882-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814
Hospital & facility affiliations
- Peacehealth St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients |
Locations
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
Interoperability endpoints
- nvasquezencalada621303@direct.peacehealth.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1992083851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363361",
"telephone_number": "918-488-6045",
"fax_number": "918-488-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74136",
"telephone_number": "918-502-1900",
"fax_number": "918-494-6303"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr",
"address_2": "DC 043.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652121000",
"country_code": "US",
"telephone_number": "573-882-0808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ ENCALADA",
"first_name": "NATALY",
"middle_name": "MONSERRATH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OK",
"license": "32614",
"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 Feb 8, 2019; 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.