KATHYRN BANDY (NPI# 1407475890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407475890 |
| Entity Type | Individual |
| Full Name | KATHYRN BANDY |
| Credential | MS RD LD |
| Practice Address |
10109 E 79th St Tulsa OK 74133-4564 |
| Practice Telephone | 9186367141 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1301X | 927863 | OK |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RD/LD | 927863 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4632 S Gary Ave, Tulsa, OK 741055225 | 9182865368 |
| Street Address |
10109 E 79TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127440 | Julia D Matejec | Pharmacist | 10109 E 79th St, Inpatient Pharmacy, Tulsa, OK 74133-4564 | 2005-10-11 |
| 1598388506 | Talitha Jacobs | Respiratory Therapist, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2020-05-26 |
| 1609429034 | Mark Van Holt | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-07-24 |
| 1982160461 | Karlie Ann Collins | Counselor | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-02-20 |
| 1528539475 | Angel Marie Allen | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-12-17 |
| 1841775947 | Stacy Lynn Newberry | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-09-25 |
| 1922599133 | Steven Christopher Dobbs | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-05-23 |
| 1184129991 | Kalli Castille | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
| 1538664289 | Jessica Smith | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
| 1437544228 | Nilan Naik | Radiology | 10109 E 79th St, Tulsa, OK 74133-4564 | 2015-03-30 |
| Find all providers in the same location | ||||
| 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 | ||||
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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.