Kendra Stafford, RN, DNP-FNP STUDENT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

224395 Issued in OK

Practice address

4415 S Harvard Ave Ste 120
Tulsa, OK 74135-2616

Phone

(918) 895-7850

NPI assigned

Feb 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1376358135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E 130TH PL S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374437",
            "telephone_number": "405-464-0910",
            "fax_number": "405-464-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352616",
            "telephone_number": "918-895-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 E 130th Pl S",
            "address_purpose": "LOCATION",
            "city": "Jenks",
            "state": "OK",
            "postal_code": "740374437",
            "country_code": "US",
            "telephone_number": "405-464-0910",
            "fax_number": "405-464-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "KENDRA",
        "credential": "RN, DNP-FNP STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "224395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kellen Stadler, DO
• Andrea Elizabeth Stafford, M.D.
• Gregory Lee Stafford, PA-C
• Jackie Dee Stafford, APRN
• Kelley Kristeen Stafford, PA-C
• Lisa Ann Stafford, M.ED., LPC
• Melinda Stafford, APRN CNP
• Paul Ryan Stafford, MD
• Terri Stafford, MOT/L
• Jeffrey Scott Stafira, MD

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.