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AUDREY BYRD DO
NPI 1124780887
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since October 11, 2021PECOS Enrolled
2345 SOUTHWEST BLVD, TULSA, OK 74107(918) 960-4146 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2023, Oct 11, 2021 (2 updates tracked since 2021).

About Audrey Byrd Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY BYRD DO (NPI 1124780887) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124780887
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUDREY BYRDCredential: DO
Location Address2345 SOUTHWEST BLVDTulsa, OK 74107-2705
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705
Phone(918) 960-4146
Sole ProprietorYes
Enumeration DateOctober 11, 2021
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1124780887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 8602 (OK)
2345 SOUTHWEST BLVD, Tulsa, OK 74107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Byrd Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL JOUNG DO
Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
MARIA MONI KUNNEL DO
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
LARRY D CHERRY DO
Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center (Medical Specialty)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 561-5701
KATHY NGUYEN DO
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 561-8395
SUSAN K REDWOOD PHD
Psychologist (Health Service)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
ANDREW COLE EICHELBERGER PHARMD
Pharmacist (Ambulatory Care)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
JANA NICOLE BAKER DO
Internal Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 382-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Byrd's NPI number?

The NPI number for Audrey Byrd is 1124780887. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Audrey Byrd located?

Audrey Byrd practices at 2345 Southwest Blvd, Tulsa, OK 74107. The listed phone number is (918) 960-4146.

What is Audrey Byrd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Audrey Byrd enrolled in Medicare?

Yes. Audrey Byrd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Byrd was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.