TARA E BYROM (NPI# 1083954416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083954416 |
| Entity Type | Individual |
| Full Name | TARA E BYROM |
| Credential | APRN |
| Practice Address |
11911 S Oak St Jenks OK 74037-2667 |
| Mailing Address |
303 E Taft Ave Suite 3 Sapulpa OK 74066-5651 |
| Practice Telephone | 9182960750 |
| Practice Fax Number | 9189957651 |
| Mailing Telephone | 9182242222 |
| Mailing Fax Number | 9182242227 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP847716 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
201401241NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2013042963 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
75260 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200478980A | 05 |
| Street Address |
11911 S OAK ST |
| City | JENKS |
| State | OK |
| Zip Code | 74037-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1104435999 | Julie Marie Kelly | Nurse Practitioner | 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 | 2020-07-28 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.