KRISTINE DANIELLE WYATT (NPI# 1033162532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033162532 |
| Entity Type | Individual |
| Full Name | KRISTINE DANIELLE WYATT |
| Credential | PA-C |
| Practice Address |
220 W 71st St Tulsa OK 74132-2011 |
| Practice Telephone | 9187477799 |
| Practice Fax Number | 9187438648 |
| Mailing Telephone | 9187477799 |
| Mailing Fax Number | 9187438648 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA755 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
220 W 71ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74132-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205263126 | Tulsa Retina Consultants Pllc | Ophthalmology | 220 W 71st St, Tulsa, OK 74132-2011 | 2013-10-09 |
| 1821201088 | Thomas A. Finley | Ophthalmology | 220 W 71st St, Tulsa, OK 74132-2011 | 2007-05-07 |
| 1871613547 | Anthony Economou Do PC | Ophthalmology | 220 W 71st St, Tulsa, OK 74132-2011 | 2007-03-29 |
| 1548289721 | Surgery Works PC | Ophthalmology | 220 W 71st St, Tulsa, OK 74132-2011 | 2006-07-19 |
| 1619996899 | Retina Associates Inc | Ophthalmology | 220 W 71st St, Tulsa, OK 74132-2011 | 2006-07-19 |
| 1730124728 | Raymond E Townsend | Ophthalmology | 220 W 71st St, Tulsa, OK 74132-2011 | 2006-06-17 |
| 1245274117 | John A Saurino | Ophthalmology | 220 W 71st St, Tulsa, OK 74132-2011 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1801153754 | Jeffrey B Hill | Family Medicine | 7858 South Olympia Avenue West, Tulsa, OK 74132 | 2012-04-17 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1356331052 | Trisza L Ray | Family Medicine | 7858 South Olympia Avenue, Tulsa, OK 74132 | 2005-10-24 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1306843248 | Paul Pisarik | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132 | 2005-07-07 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| Find all providers in zip 74132 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1790155562 | Caldwell Medical Group of North Tulsa LLC | Physician Assistant | 8014 S 101st East Ave, Tulsa, OK 74133-4579 | 2015-10-05 |
| 1609298330 | Marci Love Deck | Physician Assistant | 2000 S Wheeling Ave Ste 1000, Tulsa, OK 74104-5648 | 2014-01-15 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1184959389 | Erin Nicole Jones | Physician Assistant | 11212 E 48th St., Oklahoma Oncology, Tulsa, OK 74146-5806 | 2009-10-06 |
| 1194901793 | Annamae Kay | Physician Assistant | 1919 South Wheeling Ave, Ste 304, Tulsa, OK 74104 | 2008-01-14 |
| 1265632129 | Oklahoma Occupational Health Center | Physician Assistant | 5640 S Memorial Dr, Tulsa, OK 74145-9001 | 2007-07-19 |
| 1962535831 | Njanja Margaret Ruenji | Physician Assistant | Morton Comprehensive Health Services, 1334 N. Lasing Ave, Tulsa, OK 74106-5907 | 2007-03-13 |
| 1740355460 | Jeri Clark Goen | Physician Assistant | 3807 S Peoria Ave, Suite G and H, Tulsa, OK 74105-3145 | 2006-11-21 |
| 1790879237 | Steven Paul Henry | Physician Assistant | 10506 South Memorial Drive, Tulsa, OK 74133 | 2006-10-02 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on KRISTINE DANIELLE WYATT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.