NPIMap

Organization Active NPI

St John Health System

  • Medical Specialty Clinic/Center
  • Tulsa, OK
National Provider Identifier
1508226507
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ST JOHN HEALTH SYSTEM
Practice address
1717B S Utica Ave
Suite 205
Tulsa, OK 74104-5333
Phone
(918) 744-2995
NPI assigned
Mar 3, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Ms. Kelley Michelle Frost, MS RD LD CDE
Title
Diabetes Educator
Phone
(918) 744-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1717B S Utica Ave
Suite 205
Tulsa, OK 74104-5333

Mailing address

1717B S Utica Ave
Suite 205
Tulsa, OK 74104-5333

National Provider Directory

National Provider Directory
Tax ID family
St Johns Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1717 S Utica Ave
Ste 205
Tulsa, OK 74104
Phone (918) 744-2444

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1508226507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717B S UTICA AVE",
            "address_2": "SUITE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717B S UTICA AVE",
            "address_2": "SUITE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045333",
            "telephone_number": "918-744-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIABETES EDUCATOR",
        "authorized_official_telephone_number": "918-744-2449",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS RD LD CDE"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "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 Mar 3, 2016; 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.