Active NPI
Christine Ann Davis
- Pediatric Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1295284743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 134008
- Practice address
- 6465 S Yale Ave Ste 408
Tulsa, OK 74136-7806 - Phone
- (918) 481-4880
- Fax
- (918) 481-4899
- NPI assigned
- Sep 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 21865 | TN | |
| Pediatric Nurse Practitioner | 363LP0200X | 134008 | OK | Primary |
Addresses
Primary practice location
6465 S Yale Ave Ste 408
Tulsa, OK 74136-7806
Mailing address
6465 S Yale Ave Ste 408
Tulsa, OK 74136-7806
Phone (615) 481-4880
Other practice location 1
1029 W Main St
Suite M
Lebanon, TN 37087-3351
Phone (615) 453-1252
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 |
|---|---|---|---|
| 134008 | OK | MD | Pediatric Nurse Practitioner |
| 21865 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franz Moncada MD Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Tulsa, OK
- NPI 1033272281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1295284743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 S YALE AVE STE 408",
"city": "TULSA",
"state": "OK",
"postal_code": "741367806",
"telephone_number": "615-481-4880",
"fax_number": "918-481-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 S YALE AVE STE 408",
"city": "TULSA",
"state": "OK",
"postal_code": "741367806",
"telephone_number": "918-481-4880",
"fax_number": "918-481-4899"
}
],
"practiceLocations": [
{
"address_1": "1029 W Main St",
"address_2": "Suite M",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370873351",
"country_code": "US",
"telephone_number": "615-453-1252",
"fax_number": "615-453-1286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "21865",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "134008",
"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 Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.