Individual provider Active NPI

Jestine A Gahagan, X RAY TECHNICIAN

  • Body Imaging Physician
  • Tulsa, OK
National Provider Identifier
1851380703
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
259819 Issued in OK
Practice address
603 E Pine St
Tulsa, OK 74106-4849
Phone
(918) 295-6137
Fax
(918) 582-0529
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 259819 OK Primary

Addresses

Primary practice location

603 E Pine St
Tulsa, OK 74106-4849

Mailing address

603 E Pine St
Tulsa, OK 74106-4849
Phone (918) 295-6137

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

State licenses

LicenseStateTypeSpecialty
259819OKMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc Past Accepting new patients

Organizations & group practices 1

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851380703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064849",
            "telephone_number": "918-295-6137",
            "fax_number": "918-582-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E PINE ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064849",
            "telephone_number": "918-295-6137",
            "fax_number": "918-582-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHAGAN",
        "first_name": "JESTINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "X RAY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OK",
            "license": "259819",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2026; 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.