KERRI LYNN VANDIVER (NPI# 1366423188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366423188 |
Entity Type | Individual |
Full Name | KERRI LYNN VANDIVER |
Credential | ARNP |
Practice Address |
11515 E 31st St Tulsa OK 74146-1908 |
Practice Telephone | 9183923944 |
Practice Fax Number | 9183923949 |
Mailing Telephone | 9183923944 |
Mailing Fax Number | 9183923949 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2014-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R0072206 | OK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200044350A | 05 |
Street Address |
11515 E 31ST ST |
City | TULSA |
State | OK |
Zip Code | 74146-1908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083741516 | Amie Kathryn Framel | Nurse Practitioner | 11515 E 31st St, Tulsa, OK 74146-1908 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
Find all providers in zip 74146 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
1437695715 | Erika Rumble | Nurse Practitioner | 10901 E 48th Street S, Tulsa, OK 74146-5830 | 2017-01-11 |
1932473568 | Julie Claire Styles | Nurse Practitioner | 1540 N Lewis Ave, Tulsa, OK 74110-2535 | 2012-02-29 |
1396772158 | Gwendolyn Evon Montes | Nurse Practitioner | 334 E Apache St, Tulsa, OK 74106-3704 | 2006-06-27 |
1609404946 | Alexandra Kirsten Morton | Nurse Practitioner | 6565 S Yale Ave, Tulsa, OK 74136-8327 | 2020-03-31 |
1154871333 | Sarah Bevilacqua | Nurse Practitioner | 3501 S Yale Ave, Tulsa, OK 74135-8014 | 2016-10-11 |
1356725337 | Delana Gregg | Nurse Practitioner | 315 S Utica Ave, Tulsa, OK 74104-2203 | 2015-07-20 |
1326486960 | Sherri Lynn Fisher | Nurse Practitioner | 7501 Riverside Pkwy, Tulsa, OK 74136 | 2013-06-05 |
1962768994 | Kristin Dawn Buchanan | Nurse Practitioner | 1120 S Utica Ave, Suite G100, Tulsa, OK 74104-4012 | 2012-04-04 |
1629375993 | April R Zumwalt | Nurse Practitioner | 1120 S Utica Ave, G100, Tulsa, OK 74104-4012 | 2011-02-22 |
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.