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Derek J Smith

Licensed Practical Nurse β€’ Tulsa, OK

Active NPI 1629755012 Individual Practitioner Male Practitioner
Practice location in NPPES

6333 E Skelly Dr
Tulsa, OK 741356106

Call 5395931299 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6333 E Skelly Dr

Tulsa, OK 741356106

Telephone 5395931299
Organization at the Same NPPES Address or Phone
Grand Lake Mental Health Center, Inc. Facility NPI 1053317883

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tulsa and Oklahoma

231 active clinicians are listed under Licensed Practical Nurse with a practice address in Tulsa, OK (1,100 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tulsa

0% of these 231 clinicians have the CMS telehealth indicator.

0.4% of these 231 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OK 0064110

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OK 064110

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1659455913

Doctor of Dental Surgery

Stephanie Wrightsman

Nurse Practitioner - Family

NPI 1497484083

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address October 09, 2024

Registered at 6333 SKELLY DRIVE, TULSA, OK 74145 (Tel: 9187203812)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Licensed Practical Nurse (license number reported to NPPES: OK 064110)

βœ…
NPI Profile Active June 28, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 28, 2023

Registered at 6333 E SKELLY DR, TULSA, OK 741356106 (Tel: 5395931299)

πŸ“
Business Mailing Address (Initial Record) June 28, 2023

Registered at 6333 E SKELLY DR, TULSA, OK 741356106 (Tel: 5395931299)

πŸ‘€
Provider Name / Credentials (Initial Record) June 28, 2023

Recorded as DEREK SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2023

Licensed Practical Nurse (license number reported to NPPES: OK 0064110)

🟒
Initial NPI Registration & Enumeration June 28, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629755012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2023
Last Update: October 09, 2024
Sole Proprietor: No

Mailing Address

6333 Skelly Drive

Tulsa, OK 74145

Phone: 9187203812

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.