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

Tyler Stafford Faulk, CRNA

Individual provider Registered Nurse · NPI 1710646062

Tyler Stafford Faulk, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tulsa, Oklahoma. Qualified in 2021, 5 years ago. Practices with Integral Anesthesia LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2021
Specialties on file
2
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.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 206396 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0118941 (OK)

Record details

NPI number1710646062
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 14, 2021
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 2021 (5 years in practice)
Group practice Integral Anesthesia Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tulsa