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Export Provider Record NPI 1013994458
Tara LinvillePA-C
Active
NPI Number1013994458
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant, Medical
Provider Details
NPI1013994458
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-12-28
Last Updated2018-05-14
Mailing Address6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361
United States
Phone: (918) 488-6045 | Fax: (918) 488-6098
📍 View Map
Primary Practice Address6565 S Yale Ave Ste 1200
Tulsa, OK 74136
United States
Phone: (918) 502-3376 | Fax: (918) 502-3375
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOK200060190a
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363AM0700X – Physician Assistant, MedicalOK1108
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About NPI 1013994458

Tara Linville PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1013994458. The primary specialty listed is Physician Assistant, Medical. The provider is located in Tulsa, OK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013994458?

NPI 1013994458 belongs to Tara Linville PA-C, a Physician Assistant, Medical in Tulsa, OK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013994458 active?

The current status of NPI 1013994458 in the NPPES registry is Active. The record was last updated on 2018-05-14.

What specialty is NPI 1013994458?

NPI 1013994458 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013994458?

You can verify NPI 1013994458 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013994458?

The primary practice address on file for NPI 1013994458 is 6565 S Yale Ave Ste 1200, Tulsa, OK 74136. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013994458 issued?

NPI 1013994458 was first issued (enumerated) on 2005-12-28. The NPPES record was last updated on 2018-05-14.

Practice Location Map

Tara Linville is located at 6565 S Yale Ave Ste 1200, Tulsa, OK. Use the map below to find directions or verify the practice location.

📍 6565 S Yale Ave Ste 1200, Tulsa, OK 74136  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Tara Linville. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013994458. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant, Medical1108OK
Data Verified from CMS NPPES Last synced: 2026-06-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162