Individual provider Active NPI

Ta'Vianna Danielle Polley-Davis

  • Counselor
  • Tulsa, OK
National Provider Identifier
1821434523
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1148 E. 20TH St
Unit a
Tulsa, OK 74128
Phone
(918) 878-7877
NPI assigned
May 21, 2013
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000000MedicaidOK

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.

Verify at the official NPI Registry.