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

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OKLAHOMA KIDS PEDIATRICS, SARA BUNTIN, APRN-CPNP, PLLC

Practice address

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

Phone

(918) 609-5700

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Sara Ann Buntin, APRN, CPNPNPI 1033460449

Title

Owner, Aprn, CPNP

Phone

(918) 605-8609

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Ann Buntin, MSN, APRN, PNP-PC

  • Pediatric Adolescent Medicine Physician
  • Owasso, OK
  • NPI 1033460449
  NPD Authorized official
• Shannon White, APRN

  • Pediatric Nurse Practitioner
  • Owasso, OK
  • NPI 1730607466
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1093589640",
    "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": {
        "organization_name": "OKLAHOMA KIDS PEDIATRICS, SARA BUNTIN, APRN-CPNP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BUNTIN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, APRN, CPNP",
        "authorized_official_telephone_number": "918-605-8609",
        "authorized_official_credential": "APRN, CPNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• On Demand Urgent Care, LLC
• Optima Vida Healthcare

• Primary Care Clinic/Center in Owasso, OK
• Providers in Owasso, OK by specialty
• Primary Care Clinic/Center 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.