Tina Joy Aprn-CNP, FNP-BC, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77055 Issued in OK

Legal business name

TINA JOY APRN-CNP, FNP-BC, LLC

Doing business as

Boulevard Family Clinic

Practice address

3431 S Boulevard Ste 109
Edmond, OK 73013-5514

Phone

(405) 562-1870

Fax

(405) 562-1871

NPI assigned

Aug 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Gay Joy, APRN-CNP

Title

Family Nurse Practitioner, Provider

Phone

(405) 312-2775

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Boulevard Family Clinic Doing business as

Locations

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821515032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD STE 109",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135514",
            "telephone_number": "405-562-1870",
            "fax_number": "405-562-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD STE 109",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135514",
            "telephone_number": "405-562-1870",
            "fax_number": "405-562-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA JOY APRN-CNP, FNP-BC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER, PROVIDER",
        "authorized_official_telephone_number": "405-312-2775",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "77055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2015022832",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP",
            "identifier": "77055",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timberlane Manor, LLC (Grace Living Center - Edmond)
• Stacey Ann Timmons, PA-C
• Timothy H Cook MD PLLC
• Timothy M. Jones, LPC, PLLC
• Dustin William Tims, PA-C
• Sidney Tippin, MPAS, PA-C
• Jacob M Tipps, MD
• Bryan Marshall Tison, PNP-PC
• Gadinga Nixon Tita, RT
• Kathryn W Toahty, BHRS

• Family Nurse Practitioner in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.