Modify, PLLC
NPI 1871295774ActiveOrganization· Clinical Nurse Specialist, Adult Health· Tulsa, OK
Clinical Nurse Specialist, Adult Health in Tulsa, Oklahoma, registered in NPPES in March 2023. The authorized official on file is Amanda Jo Wyatt, DNP, APRN-CNS,BC-ADM, Owner.
Overview
| NPI | 1871295774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2023 |
| Last updated in NPPES | Jun 12, 2023 |
| Certified by provider | Jun 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Nurse Specialist, Adult Health Primary | 364SA2200X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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