Individual provider Active NPI

Crystal Lynn Loveland-Davis, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1043906878
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212530 Issued in OK
Practice address
7600 S Lewis Ave
Tulsa, OK 74136-6836
Phone
(539) 399-3410
Fax
(539) 399-3419
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 212530 OK Primary

Addresses

Primary practice location

7600 S Lewis Ave
Tulsa, OK 74136-6836

Mailing address

7600 S Lewis Ave
Tulsa, OK 74136-6836
Phone (539) 399-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230726000928 OK Practitioner - Nurse Practitioner 9931569431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

8803 S 101St E Ave
Suite 165
Tulsa, OK 74133-5750
Phone (918) 459-8824

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212530OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Jul 1, 2023 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

7600 S Lewis Ave
Tulsa, OK 74136
Phone (918) 493-2229

8803 S 101st East Ave
Ste 165
Tulsa, OK 74133
Phone (918) 252-9100

Dept 1206
Tulsa, OK 74182

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

4408 S Harvard Ave
Tulsa, OK 74135
Phone (918) 574-0350

Interoperability endpoints

  • Direct secure messaging: clovelanddavis111905@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1043906878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366836",
            "telephone_number": "539-399-3410",
            "fax_number": "539-399-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366836",
            "telephone_number": "539-399-3410",
            "fax_number": "539-399-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELAND-DAVIS",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "212530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.