Active NPI
Caitlyn Rayann Brannon, RN, MSN
- Diabetes Educator Registered Nurse
- Tulsa, OK
National Provider Identifier
1013433077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 109991
- Practice address
- 1717B S Utica Ave Ste 205
Tulsa, OK 74104-5332 - Phone
- (918) 744-2444
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 109991 | OK | Primary |
Addresses
Primary practice location
1717B S Utica Ave Ste 205
Tulsa, OK 74104-5332
Mailing address
1717B S Utica Ave Ste 205
Tulsa, OK 74104-5332
Phone (918) 744-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109991 | OK | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Diabetes Educator | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1013433077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717B S UTICA AVE STE 205",
"city": "TULSA",
"state": "OK",
"postal_code": "741045332",
"telephone_number": "918-744-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717B S UTICA AVE STE 205",
"city": "TULSA",
"state": "OK",
"postal_code": "741045332",
"telephone_number": "918-744-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "CAITLYN",
"middle_name": "RAYANN",
"name_prefix": "Mrs.",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "OK",
"license": "109991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.