Active NPI
Divya Joykutty, APRN
- Primary Care Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 72409
- Practice address
- 10700 S Pennsylvania Ave
Oklahoma City, OK 73170-4207 - Phone
- (405) 691-9700
- Fax
- (405) 691-9702
- NPI assigned
- Jul 28, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 72409 | OK | |
| Primary Care Nurse Practitioner | 363LP2300X | 72409 | OK | Primary |
Addresses
Primary practice location
10700 S Pennsylvania Ave
Oklahoma City, OK 73170-4207
Mailing address
10700 S Pennsylvania Ave
Oklahoma City, OK 73170-4207
Phone (405) 691-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200254270A | Medicaid | OK |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72409 | OK | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Oklahoma Ambulatory Services LLC | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Health Services Inc. | Past | Accepting new patients | |
| Mercy Health Network Inc | Past | Accepting new patients |
Locations
1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637
1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632
4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134
Phone (405) 749-7099
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Urgent Care Clinic/Center
- Moore, OK
- NPI 1922509173
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1427097435
-
dba Mercy After Hours
- Medical Specialty Clinic/Center
- Yukon, OK
- NPI 1255398251
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1336370113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 S PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704207",
"telephone_number": "405-691-9700",
"fax_number": "405-691-9702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 S PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704207",
"telephone_number": "405-691-9700",
"fax_number": "405-691-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYKUTTY",
"first_name": "DIVYA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "72409",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "72409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200254270A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.