KELLY WRATTEN (NPI# 1346652930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346652930 |
| Entity Type | Individual |
| Full Name | KELLY WRATTEN |
| Credential | FNP-C |
| Practice Address |
9709 E 79th St Tulsa OK 74133-4566 |
| Mailing Address |
8115 S Memorial Dr Tulsa OK 74133-4331 |
| Practice Telephone | 9189944000 |
| Practice Fax Number | 9189944090 |
| Mailing Telephone | 9182546315 |
| Mailing Fax Number | 9184036315 |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
84787 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9709 E 79TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619030996 | Gregory L Wilson | Neuromusculoskeletal Medicine & OMM | 9709 E 79th St, Tulsa, OK 74133-4566 | 2006-12-18 |
| 1659922201 | Hatton Anesthesia LLC | Anesthesiology | 9709 E 79th St, Tulsa, OK 74133-4566 | 2019-09-25 |
| 1245731124 | Lindsay Renee Propst | Registered Nurse | 9709 E 79th St, Tulsa, OK 74133-4566 | 2018-02-26 |
| 1174042444 | Serena Searcy | Registered Nurse | 9709 E 79th St, Tulsa, OK 74133-4566 | 2017-09-18 |
| 1639575160 | Uber Group Pllc | Anesthesiology | 9709 E 79th St, Tulsa, OK 74133-4566 | 2014-11-11 |
| 1134565369 | Christopher Delozier | Physician Assistant | 9709 E 79th St, Tulsa, OK 74133 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1235742941 | Emily Christine Cobbs | Nurse Practitioner | 5740 E 29th St, Tulsa, OK 74114-6408 | 2020-08-24 |
| 1184234742 | Jenni Rigney | Nurse Practitioner | 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 | 2020-08-07 |
| 1477163087 | Amy Marie Thomas | Nurse Practitioner | 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 | 2020-08-07 |
| 1225653512 | Channel Johnson | Nurse Practitioner | 766 N Zenith Ave, Tulsa, OK 74127-5232 | 2020-06-11 |
| 1326663857 | Bethany Lemley | Nurse Practitioner | 1217 S Atlanta Pl, Tulsa, OK 74104-4310 | 2020-06-10 |
| 1952939340 | Kairie Swift | Nurse Practitioner | 3321 S Yale Ave, Tulsa, OK 74135-8011 | 2020-03-31 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1871126573 | Chelsea Allen | Nurse Practitioner | 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 | 2020-02-20 |
| 1982255352 | Crystal L Gazda | Nurse Practitioner | 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 | 2019-09-26 |
| Find all providers in TULSA | ||||
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| 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.