Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fallon Thompson

Individual provider Acute Care Nurse Practitioner · NPI 1104578418

Fallon Thompson is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2023, 3 years ago. Practices with Oklahoma Cancer Specialists and Research Institute, LLC, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 502-1900
Fax: (918) 494-6303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1819 E 19th St Ste 500, Tulsa, OK 74104-5429 — (918) 744-3600

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 215536 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0136311 (OK)

Record details

NPI number1104578418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2022
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address211 E Juneau Pl, Broken Arrow, OK 74012-8269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Oklahoma Cancer Specialists And Research Institute, Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tulsa