Active NPI
Ta'Vianna Danielle Polley-Davis
- Counselor
- Tulsa, OK
National Provider Identifier
1821434523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1148 E. 20TH St
Unit a
Tulsa, OK 74128 - Phone
- (918) 878-7877
- NPI assigned
- May 21, 2013
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
1148 E. 20TH St
Unit a
Tulsa, OK 74128
Mailing address
5024 N Utica PL
Tulsa, OK 74130-1917
Phone (918) 853-5551
Other practice location 1
114 N Grand Ave Ste 414
Okmulgee, OK 74447-4032
Phone (539) 202-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1821434523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5024 N UTICA PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741301917",
"telephone_number": "918-853-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 E. 20TH ST",
"address_2": "UNIT A",
"city": "TULSA",
"state": "OK",
"postal_code": "74128",
"telephone_number": "918-878-7877"
}
],
"practiceLocations": [
{
"address_1": "114 N Grand Ave Ste 414",
"address_purpose": "LOCATION",
"city": "Okmulgee",
"state": "OK",
"postal_code": "744474032",
"country_code": "US",
"telephone_number": "539-202-7898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLEY-DAVIS",
"first_name": "TA'VIANNA",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.