Individual provider Active NPI

Kristina Doolittle

  • Family Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1306353552
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95706 Issued in OK
Practice address
3400 E Frank Phillips Blvd Ste 501
Bartlesville, OK 74006-2495
Phone
(918) 331-2415
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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 95706 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd Ste 501
Bartlesville, OK 74006-2495

Mailing address

3400 E Frank Phillips Blvd Ste 501
Bartlesville, OK 74006-2495
Phone (918) 331-2415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221002317 OK Practitioner - Nurse Practitioner 4284995952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kavanah Medical LLCGroup PAC ID 9032544226, 7 clinicians

Practice addresses (Care Compare)

1755 N Hwy 66
Suite G
Catoosa, OK 74051-2717
Phone (918) 553-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Apr 2, 2018 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Omni Medical Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Kavanah Medical LLC CurrentSince Nov 25, 2019 Accepting new patients

Locations

601 SW Jennings Ave
Bartlesville, OK 74003
Phone (918) 553-1188

3400 E Frank Phillips Blvd
Ste 501
Bartlesville, OK 74006
Phone (918) 331-2415

1073 NE Washington Blvd
Bartlesville, OK 74006

1755 N Highway 66
Ste G
Catoosa, OK 74015
Phone (918) 260-7631

11560 N 135th East Ave
Ste 101
Owasso, OK 74055
Phone (918) 533-1188

1501 W Rogers Blvd
Skiatook, OK 74070
Phone (918) 396-4122

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • Direct secure messaging: kristina.doolittle.1@20421.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20421/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1306353552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 501",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 501",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "95706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.