Individual provider Active NPI

Caroline Powell Coussens, RN,ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Tulsa, OK
National Provider Identifier
1184855389
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
R0042972 Issued in OK
Practice address
200 W 46TH St N
Dream Center
Tulsa, OK 74126-6675
Phone
(918) 430-9984
Fax
(918) 430-1013
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X R0042972 OK Primary

Addresses

Primary practice location

200 W 46TH St N
Dream Center
Tulsa, OK 74126-6675

Mailing address

200 W 46TH St N
Tulsa, OK 74126-6675
Phone (918) 430-9984

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0042972OKMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1184855389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 46TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266675",
            "telephone_number": "918-430-9984",
            "fax_number": "918-430-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 46TH ST N",
            "address_2": "DREAM CENTER",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266675",
            "telephone_number": "918-430-9984",
            "fax_number": "918-430-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSSENS",
        "first_name": "CAROLINE",
        "middle_name": "POWELL",
        "credential": "RN,ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OK",
            "license": "R0042972",
            "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 Jun 28, 2010; 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.