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

Mr. Derek J Smith

Individual provider Licensed Practical Nurse · NPI 1629755012

Mr. Derek J Smith is a Licensed Practical Nurse in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023
Specialties on file
2

Practice location Address checks out

6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone: (539) 593-1299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 0064110 (OK)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 064110 (OK)

Record details

NPI number1629755012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESOctober 9, 2024
Certification dateOctober 4, 2024
Mailing address6333 Skelly Drive, Tulsa, OK 74145

Other providers in Tulsa