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

Robert William Blankenship, CRNA

Individual provider Registered Nurse · NPI 1063987600

Robert William Blankenship, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tulsa, Oklahoma. Qualified in 2018, 8 years ago. Practices with Northeastern Health System, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
8
Licensed in
OK, TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 494-0612
Fax: (918) 481-5170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 8th Ave, Fort Worth, TX 76104-4110 — (817) 926-2544

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 200198 (OK)
Registered Nurse Taxonomy 163W00000X · Licence 898076 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AP140507 (TX)

Record details

NPI number1063987600
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 10, 2018
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northeastern Health System — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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