FALLON THOMPSON NPI 1104578418

NPI Information

  • NPI: 1104578418
  • Provider Name: FALLON THOMPSON
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6161 S YALE AVE
    TULSA, OK
    ZIP 74136
  • Phone: (918) 502-1900

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NPI Details

Fallon Thompson is an acute care nurse practitioner in Tulsa, OK with 3 years of experience. Fallon Thompson NPI is 1104578418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6161 S YALE AVE
TULSA, OK
ZIP 74136-902
Phone: (918) 502-1900
Fax: (918) 494-6303

The NPI 1104578418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care215536OKLAHOMAYes
2163W00000XRegistered NurseR0136311OKLAHOMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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