Individual provider Active NPI

Donna May Devore, F.N.P.-B.C.

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1811216369
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0042648 Issued in OK
Practice address
9245 S Mingo Rd
Tulsa, OK 74133-5793
Phone
(918) 574-0250
Fax
(918) 574-0259
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0042648 OK Primary

Addresses

Primary practice location

9245 S Mingo Rd
Tulsa, OK 74133-5793

Mailing address

9245 S Mingo Rd
Tulsa, OK 74133-5793
Phone (918) 574-0250

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000320 OK Practitioner - Nurse Practitioner 3870774664 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0042648OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC CurrentSince Nov 28, 2023 Accepting new patients
Medexpress Urgent Care, PC - Oklahoma CurrentSince Feb 11, 2018 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Nov 28, 2023 Accepting new patients

Locations

3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207

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

  • Direct secure messaging: donna.devorefnp.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: ddevore109146@ahs.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: donna.devorefnp.p10@direct.nextcare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1811216369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-574-0250",
            "fax_number": "918-574-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-574-0250",
            "fax_number": "918-574-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "DONNA",
        "middle_name": "MAY",
        "credential": "F.N.P.-B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0042648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.