Healthcare Provider Details

I. General information

NPI: 1558257014
Provider Name (Legal Business Name): MELINDA HIPP MSN, RN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7127 S OLYMPIA AVE
TULSA OK
74132-1856
US

IV. Provider business mailing address

14833 S VANDALIA AVE
BIXBY OK
74008-4052
US

V. Phone/Fax

Practice location:
  • Phone: 918-665-9500
  • Fax:
Mailing address:
  • Phone: 918-521-8171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0131112
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number223678
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: