ANDREA DIANE WILLIBEY


Address: 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243
Phone: 9185920999

ANDREA DIANE WILLIBEY (NPI# 1356828594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356828594
Entity Type Individual
Full Name ANDREA DIANE WILLIBEY
Credential APRN-CNS
Practice Address 1265 S Utica Ave Ste 300
Tulsa
OK 74104-4243
Mailing Address 9228 S Mingo Rd Ste 200
Tulsa
OK 74133-5722
Practice Telephone 9185920999
Mailing Telephone 9185920999
Enumeration Date 2018-07-20
Last Update Date 2019-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist 109450 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1265 S UTICA AVE STE 300
City TULSA
State OK
Zip Code 74104-4243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447269725 Joseph J Gard Internal Medicine 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2006-08-05
1316551559 Lauren Nicole Willems Nurse Practitioner 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2020-09-04
1831666726 Kayla Marie Rials Physician Assistant 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2018-10-29
1982189585 Cherri Dianne Foster Nurse Practitioner 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2018-09-28
1669974754 Stephanie R Johnson Physician Assistant 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2018-03-05
1437650108 Dacia Elise Pittsley Nurse Practitioner 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2018-02-27
1437670585 Lauren E Stegemann Clinical Nurse Specialist 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2017-06-29
1275066839 Elizabeth Baird Walton Physician Assistant 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2017-04-10
1164805834 Natalee Pendergraft Nurse Practitioner 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2015-06-30
1457732893 Charles Spradlin Nurse Practitioner 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2015-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982253811 Ultimate Health and Pain Management Pain Medicine 1844 East 15th Street, Tulsa, OK 74104 2019-09-04
1225691223 David Murray Student in an Organized Health Care Education/Training Program 2100 S Wheeling Ave, Tulsa, OK 74104 2019-04-16
1083115828 Susan Fortner Counselor 1328 S. Delaware Pl, Tulsa, OK 74104 2018-02-27
1033636915 Mark Brizendine Dietitian, Registered Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 2017-08-23
1295259067 Demi Reyd Cook Nurse Practitioner 1717 A South Utica, Tulsa, OK 74104 2017-08-02
1851827059 Oklahoma Cvs Pharmacy Durable Medical Equipment & Medical Supplies 1701 E 15th Street, Tulsa, OK 74104 2017-05-08
1801334982 Jamie Lynne Miller Internal Medicine 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 2017-02-08
1578913430 Donna Durant-macon Registered Nurse 315 South Utica, Tulsa, OK 74104 2016-06-21
1669833851 Mbc Dental Dentist 401 S. Utica Ave, #a, Tulsa, OK 74104 2016-03-15
1518332170 Neuro Dynamics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 22 S Lewis, Tulsa, OK 74104 2015-12-08
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245842848 Integrated Care Professionals of Oklahoma, LLC Clinical Nurse Specialist 1831 E 71st St Ste 323, Tulsa, OK 74136-3922 2020-08-17
1811968977 Veronica Lynn Wells Clinical Nurse Specialist 4502 E 41 St, Ste 2g12, Tulsa, OK 74135 2006-01-27
1073146312 Tammy Irene Joplin Clinical Nurse Specialist 1923 S Utica Ave, Tulsa, OK 74104-6520 2020-02-14
1760969497 Megan L Vitrano Clinical Nurse Specialist 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-07-25
1437670585 Lauren E Stegemann Clinical Nurse Specialist 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2017-06-29
1043686868 Kristin Mariah Pruitt Clinical Nurse Specialist 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2015-08-16
1376967299 Lindsey Remmert Clinical Nurse Specialist 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2014-02-12
1093151169 Lisa Kay Lee Clinical Nurse Specialist 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2013-05-16
1457618613 Kristy Kay Martin Clinical Nurse Specialist 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 2012-04-12
1578834396 Stephanie Moore Clinical Nurse Specialist 10109 E 79th St, Tulsa, OK 74133-4564 2012-01-25
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City TULSA
Zip Code 74104

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Dataset Information

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.

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