Active NPI
Kelly Dawn Stemm, APRN-CNP
- Women's Health Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R93630
- Practice address
- 4444 E 41St St
Tulsa, OK 74135-2527 - Phone
- (918) 619-4400
- Fax
- (918) 619-4216
- NPI assigned
- Jun 10, 2009
- Last updated
- Aug 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R93630 | OK | Primary |
Addresses
Primary practice location
4444 E 41St St
Tulsa, OK 74135-2527
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 619-4200
Other practice location 1
2235 E 61st St Ste B
Tulsa, OK 74136-0102
Phone (539) 479-9802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200249650A | 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R93630 | OK | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma Ou Physicians Tulsa | Current | Accepting new patients | |
| Archwell Health Professional Services of Oklahoma, LLC | Current | Accepting new patients | |
| Christian Counseling Center of Tulsa | Past | Accepting new patients |
Locations
1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600
2235 E 61st St
Ste B
Tulsa, OK 74136
Phone (539) 476-9802
3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005
4444 E 41st St
Tulsa, OK 74135
4444 E 41st St
Ste B
Tulsa, OK 74135
Phone (918) 619-4801
8005 E 106th St
Tulsa, OK 74133
Phone (918) 591-5711
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- kelly.stemm@214522098548740.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1457934895
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1154385730
-
- Marriage & Family Therapist
- Tulsa, OK
- NPI 1538383161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1477789923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268838",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268838",
"telephone_number": "918-619-4200",
"fax_number": "918-619-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352527",
"telephone_number": "918-619-4400",
"fax_number": "918-619-4216"
}
],
"practiceLocations": [
{
"address_1": "2235 E 61st St Ste B",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741360102",
"country_code": "US",
"telephone_number": "539-479-9802",
"fax_number": "539-476-9804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEMM",
"first_name": "KELLY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OK",
"license": "R93630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200249650A",
"state": "OK"
}
],
"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 8, 2024; 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.