Individual provider Active NPI

Dana Marie Stournaras, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1013526227
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219508 Issued in OK
Practice address
3138 S Garnett Rd
Tulsa, OK 74146-1933
Phone
(918) 203-7005
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8928 CT
Family Nurse Practitioner 363LF0000X 219508 OK Primary
Nurse Practitioner 363L00000X 8928 CT

Addresses

Primary practice location

3138 S Garnett Rd
Tulsa, OK 74146-1933

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice location 1

501 Crescent St
New Haven, CT 06515-1330
Phone (033) 927-2782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201022001029 CT Practitioner - Nurse Practitioner 9133549629 Reassigns benefits to 1 organization
I20241119000420 OK Practitioner - Nurse Practitioner 9133549629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8928CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Oklahoma, LLC CurrentSince Nov 1, 2024 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jul 31, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: dana.stournaras@xdr.hhchealthdirect.org

Organizations & group practices 2

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1013526227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461933",
            "telephone_number": "918-203-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Crescent St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065151330",
            "country_code": "US",
            "telephone_number": "033-927-2782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOURNARAS",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8928",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "219508",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.