Individual provider Active NPI

Zoee Ann Rayner, MSN, APRN, CNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1215424635
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
108321 Issued in OK
Practice address
2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone
(918) 935-3240
Fax
(918) 935-3241
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 108321 OK Primary

Addresses

Primary practice location

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242

Mailing address

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone (918) 935-3240

Other practice location 1

6048A S Sheridan Rd
Tulsa, OK 74145-9212
Phone (918) 935-3240

Other identifiers 1

IdentifierTypeStateIssuer
200810850AMedicaidOK

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)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1215424635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6048A S Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459212",
            "country_code": "US",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "ZOEE",
        "middle_name": "ANN",
        "credential": "MSN, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "108321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200810850A",
            "state": "OK"
        }
    ],
    "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 May 21, 2020; 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.