Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629755012 Individual Practitioner Male Practitioner

Derek J Smith

Licensed Practical Nurse • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Derek Smith is a registered healthcare professional specializing in Licensed Practical Nurse in Tulsa, OK. Practice services are available at 6333 E SKELLY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6333 E Skelly Dr

Tulsa, OK 741356106

Telephone 5395931299
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
232 Specialists

Practicing in Tulsa, OK (1129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jerry Manus

Case Manager/Care Coordinator

NPI 1003465246
Krystal Hutchinson

Peer Specialist

NPI 1003502592
Abigail Carlisle

Case Manager/Care Coordinator

NPI 1003509761
Tanya Crawford , RN

Registered Nurse

NPI 1003662297

Registered Nurse

Kelli Ordorica

Case Manager/Care Coordinator

NPI 1023634698
Jayson Swisher

Peer Specialist

NPI 1023798022

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address October 09, 2024

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

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

Licensed Practical Nurse (License #064110 in OK)

NPI Profile Active June 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2023

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

📍
Updated Business Mailing Address June 28, 2023

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

👤
Provider Name / Credentials Updated June 28, 2023

Recorded as DEREK SMITH

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

Licensed Practical Nurse (License #0064110 in OK)

🟢
Initial NPI Registration & Enumeration June 28, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.