Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisha Ryanne Porch-Petitt, CNS

Individual provider Clinical Nurse Specialist · NPI 1104054147

Lisha Ryanne Porch-Petitt, CNS is a Certified Clinical Nurse Specialist (Cns) in Tulsa, Oklahoma. Qualified in 2008, 18 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
18
Licensed in
OK
In the registry since
2009
What do these letters mean?
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

2000 S Wheeling Ave Ste 200
Tulsa, OK 74104-5649
Phone: (918) 748-7854
Fax: (918) 293-3116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence 0058269 (OK)

Record details

NPI number1104054147
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNS
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESJuly 31, 2009

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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