Organization Active NPI

Covenant Pain Management Clinic

  • Interventional Pain Medicine Physician
  • Tulsa, OK
National Provider Identifier
1255810321
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
COVENANT PAIN MANAGEMENT CLINIC
Practice address
7615 E 63Rd PL Ste 104
Tulsa, OK 74133-1231
Phone
(918) 307-0077
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Rebecca Nunn
Title
Chiropractic
Phone
(918) 307-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

7615 E 63Rd PL Ste 104
Tulsa, OK 74133-1231

Mailing address

7615 E 63Rd PL Ste 104
Tulsa, OK 74133-1231

National Provider Directory

National Provider Directory

Locations

7615 E 63rd Pl
Ste 104
Tulsa, OK 74133
Phone (918) 307-0077

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1255810321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 E 63RD PL STE 104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 E 63RD PL STE 104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331231",
            "telephone_number": "918-307-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PAIN MANAGEMENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "918-307-0077"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "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 Aug 9, 2018; 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.