Individual provider Active NPI

Rolanda J Davis, FNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1528202249
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-77868-111 Issued in KS
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

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171012001793 OK Practitioner - Nurse Practitioner 2466727730 Reassigns benefits to 2 organizations
I20171023002981 KS Practitioner - Nurse Practitioner 2466727730 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95063OKMDFamily Nurse Practitioner
53-77868-111KSMDPsychiatric/Mental Health Nurse Practitioner
761996TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Labette Center for Mental Health Services Incorporated CurrentSince May 16, 2024 Accepting new patients
Carearc, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Osawatomie State Hospital CurrentSince Oct 22, 2024 Accepting new patients
Mental Health Specialty Group KS, P.a. CurrentSince Nov 1, 2025 Accepting new patients
Carearc, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Medical Resource Management, LLC CurrentSince Dec 4, 2023 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Dec 4, 2023 Accepting new patients
Oakwood Springs, LLC PastSince Nov 1, 2021 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.