Kyra Nicole Davis, DNP, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

219289 Issued in OK

Practice address

5525 Hidden Meadow Dr
Mustang, OK 73064-9684

Phone

(405) 626-4905

NPI assigned

Jul 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medok Mustang, LLCGroup PAC ID 7810288032, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medok Mustang, LLC

  • Urgent Care Clinic/Center
  • Yukon, OK
  • NPI 1831553817
  Medicare reassignment Care Compare group NPD
• Medok South May LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1497620983
  NPD

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1922845189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 HIDDEN MEADOW DR",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730649684",
            "telephone_number": "405-626-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 HIDDEN MEADOW DR",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730649684",
            "telephone_number": "405-626-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KYRA",
        "middle_name": "NICOLE",
        "credential": "DNP, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "219289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Averie Czapansky
• Julie Dalton
• Brittany S Daniels, MD
• Tyra Davis-Hartin
• James R. Davis, D.O.
• Shawnda Kay Davis, DPH
• Taryn Davis
• DDS Dental PC
• Deaconess Metropolitan Physicians LLC
• Debby Doughty, PHD, LLC

• Family Nurse Practitioner in Mustang, OK
• Providers in Mustang, 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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.