TERRI LYNN O'CONNOR (NPI# 1508310442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508310442 |
| Entity Type | Individual |
| Full Name | TERRI LYNN O'CONNOR |
| Credential | RN |
| Practice Address |
1120 S Utica Ave Tulsa OK 74104-4012 |
| Mailing Address |
1120 S Utica Ave Suite 2123 Tulsa OK 74104-4012 |
| Practice Telephone | 9185795402 |
| Practice Fax Number | 9185795404 |
| Mailing Telephone | 9185795402 |
| Mailing Fax Number | 9185795404 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R 0102649 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1120 S UTICA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214497 | Shawn D Grant | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2005-06-13 |
| 1689289910 | Wound Integrity Oklahoma Pa | Family Medicine | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-09-14 |
| 1902428097 | Samantha Beck | Student in an Organized Health Care Education/Training Program | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-05-11 |
| 1447883632 | Jennifer Knowlton | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-02-17 |
| 1902443344 | Geoffrey Hopkins | Nurse Anesthetist, Certified Registered | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-12-04 |
| 1598307902 | Patrick Brennan | Physical Therapy Assistant | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-10-17 |
| 1215578497 | Ashley Wing | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4090 | 2019-09-30 |
| 1033768197 | Dawna Lynnette Hendrix | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-09-10 |
| 1417502212 | Jeffrey Jackson | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-08-08 |
| 1952954349 | Janis Elaine Jeffus | Speech-Language Pathologist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-07-24 |
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| 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 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164450060 | Patricia Gregg Lacey | Nurse Practitioner | 9129 E 74th St, Tulsa, OK 74133-5286 | 2006-06-29 |
| 1093280638 | Joleen Cervantez | Nurse Practitioner | 6151 S Yale Ave # Levelb, Tulsa, OK 74136-1907 | 2018-10-10 |
| 1376053561 | Whitney Herrera | Nurse Practitioner | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2017-10-03 |
| 1144625385 | Jeni Polk | Nurse Practitioner | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104-4012 | 2014-10-30 |
| 1821499336 | Christy Lynn Davis | Nurse Practitioner | 1120 S Utica Ave Ste 2123, Tulsa, OK 74104-4012 | 2014-09-16 |
| 1477987691 | Cheri Lynn Smith | Nurse Practitioner | 6151 S Yale Ave # Levelb, Tulsa, OK 74136-1907 | 2013-08-23 |
| 1457624793 | Judith Leigh Armstrong | Nurse Practitioner | 6151 S Yale Ave, Tulsa, OK 74136-1907 | 2012-02-16 |
| 1174890636 | Molly Mckeon | Nurse Practitioner | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104-4012 | 2011-11-28 |
| 1578830782 | Helen Tierney Klein | Nurse Practitioner | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104-4012 | 2011-11-17 |
| 1609946102 | Michelle R Miller | Nurse Practitioner | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104-4012 | 2006-11-09 |
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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.