Active NPI
Rolanda J Davis, FNP PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53-77868-111
- Practice address
- 534 Kangaroo Paw Rd
Mansfield, TX 76063-1453 - Phone
- (918) 327-0254
- NPI assigned
- Apr 24, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95063 | OK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-77868-111 | KS | Primary |
| Family Nurse Practitioner | 363LF0000X | 95063 | OK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 761996 | TX |
Addresses
Primary practice location
534 Kangaroo Paw Rd
Mansfield, TX 76063-1453
Mailing address
534 Kangaroo Paw Rd
Mansfield, TX 76063-1453
Phone (918) 327-0254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95063 | OK | MD | Family Nurse Practitioner |
| 53-77868-111 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 761996 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labette Center for Mental Health Services Incorporated | Current | Accepting new patients | |
| Carearc, Inc. | Current | Accepting new patients | |
| Osawatomie State Hospital | Current | Accepting new patients | |
| Mental Health Specialty Group KS, P.a. | Current | Accepting new patients | |
| Carearc, Inc. | Current | Accepting new patients | |
| Medical Resource Management, LLC | Current | Accepting new patients | |
| Tulsa Emergency Medical Center Inc | Current | Accepting new patients | |
| Oakwood Springs, LLC | Past | Accepting new patients | |
| State of Kansas | Past | Accepting new patients |
Locations
420 W 15th Ave
Emporia, KS 66801
Phone (620) 342-4864
1602 N Elm St
Eureka, KS 67045
Phone (620) 583-7436
500 State Hospital Dr
Osawatomie, KS 66064
Phone (913) 755-7000
1730 Belmont Ave
Parsons, KS 67357
Phone (620) 421-3770
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
801 E Douglas Ave
Ste 201
Wichita, KS 67202
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rolanda.davis.1@24259.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Parsons, KS
- NPI 1770594756
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
dba Rula Health
- Addiction Medicine (Psychiatry & Neurology) Physician
- Wichita, KS
- NPI 1063282390
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
- Federally Qualified Health Center (FQHC)
- Emporia, KS
- NPI 1467413906
-
- Public Health or Welfare Agency
- Emporia, KS
- NPI 1760658108
-
dba Adair Acute Care at Osawatomie State Hospital
- Psychiatric Hospital
- Osawatomie, KS
- NPI 1184071532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1528202249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 KANGAROO PAW RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760631453",
"telephone_number": "918-327-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 KANGAROO PAW RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760631453",
"telephone_number": "918-327-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROLANDA",
"middle_name": "J",
"credential": "FNP PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "95063",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-77868-111",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "95063",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "761996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.