Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083954416 Individual Practitioner Female Practitioner

Tara Elizabeth Byrom , APRN-CNP

Nurse Practitioner - Pediatrics • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Tara Byrom, APRN-CNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Tulsa, OK. Practice services are available at 4444 E 41ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4444 E 41st St

Tulsa, OK 741352527

Telephone 9186194400
Fax 9186194334
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Tulsa, OK (182 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: 2021-07-13
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OK 75260

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License TX NP847716

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License OR 201401241NP-PP

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MO 2013042963

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200478980A (OK)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jessica Luetkemeyer , PA-C

Physician Assistant

NPI 1003111972

Physician Assistant (Certified)

NPI 1003159690

Doctor of Medicine (M.D.)

Dr. Peter Madden , MD

Internal Medicine

NPI 1003203001

Doctor of Medicine (M.D.)

Dr. Thao Tran , DO

Internal Medicine

NPI 1003203662

Doctor of Osteopathic Medicine (D.O.)

Amna Obaid

Student in an Organized Health Care Education/Training Program

NPI 1003504358
Dr. Angela Bolz , DO

Internal Medicine - Nephrology

NPI 1013119650

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 13, 2021

Registered at 4444 E 41ST ST, TULSA, OK 741352527 (Tel: 9186194400)

📍
Updated Business Mailing Address July 13, 2021

Registered at 11911 S OAK ST, JENKS, OK 740372667 (Tel: 9188512425)

👤
Provider Name / Credentials Updated July 13, 2021

Recorded as TARA BYROM, APRN-CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2021

Nurse Practitioner (License #75260 in OK)

NPI Profile Active January 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2016

Registered at 11911 S OAK ST, JENKS, OK 740372667 (Tel: 9182960750)

📍
Updated Business Mailing Address January 04, 2016

Registered at 303 E TAFT AVE, SUITE 3, SAPULPA, OK 740665651 (Tel: 9182242222)

👤
Provider Name / Credentials Updated January 04, 2016

Recorded as TARA BYROM, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2016

Nurse Practitioner (License #NP847716 in TX)

🟢
Initial NPI Registration & Enumeration February 21, 2013

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: 1083954416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2013
Last Update: July 13, 2021
Sole Proprietor: No

Mailing Address

11911 S Oak St

Jenks, OK 740372667

Phone: 9188512425

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.