Active NPI
Kelly Dunbar Davison
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1093104127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4257
- Practice address
- 4815 S Harvard Ave
Suite 428
Tulsa, OK 74135-3055 - Phone
- (918) 760-9459
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4257 | OK | Primary |
Addresses
Primary practice location
4815 S Harvard Ave
Suite 428
Tulsa, OK 74135-3055
Mailing address
4815 S Harvard Ave Ste 428
Tulsa, OK 74135-3068
Phone (918) 393-2578
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4257 | OK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1093104127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE STE 428",
"city": "TULSA",
"state": "OK",
"postal_code": "741353068",
"telephone_number": "918-393-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE",
"address_2": "SUITE 428",
"city": "TULSA",
"state": "OK",
"postal_code": "741353055",
"telephone_number": "918-760-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNBAR DAVISON",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4257",
"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 Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.