Sara Ann Buntin, MSN, APRN, PNP-PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

83204 Issued in OK

Practice address

13600 E 86TH St N Ste 200
Owasso, OK 74055-8732

Phone

(918) 609-5700

NPI assigned

Sep 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sara.buntin@jkp.gwaydirect.com

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.

• Oklahoma Kids Pediatrics, Sara Buntin, Aprn-CPNP, PLLC

  • Primary Care Clinic/Center
  • Owasso, OK
  • NPI 1093589640
  NPD Authorized official
• Owasso Medical Facility, Inc

  • General Acute Care Hospital
  • Owasso, OK
  • NPI 1144231432
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1033460449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12324 E 86TH ST N # 472",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552543",
            "telephone_number": "918-605-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 E 86TH ST N STE 200",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558732",
            "telephone_number": "918-609-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTIN",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "MSN, APRN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "83204",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OK",
            "license": "83204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "83204",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Josephine Brown
• Jay Dee Brumbaugh, PT
• Holland Elaine Brunson
• Isabella Bryant, COTA/L
• Shadrick Bullock
• Kaitlyn Burchett
• Michelle R. Burger, CPNP
• Jacilyn Burns
• Jasmine Burton
• Amber Nicole Burwell

• Pediatric Adolescent Medicine Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Pediatric Adolescent Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.