KERRI LYNN VANDIVER ARNP NPI 1366423188

NPI Information

NPI: 1366423188
Provider Name: KERRI LYNN VANDIVER, ARNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
11515 E 31ST ST
TULSA, OK
ZIP 74146
Phone: (918) 392-3944
Get Directions

Kerri Lynn Vandiver, ARNP is a women's health nurse practitioner in Tulsa, OK. Kerri Lynn Vandiver, ARNP NPI is 1366423188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11515 E 31ST ST
TULSA, OK
ZIP 74146-908
Phone: (918) 392-3944
Fax: (918) 392-3949

The NPI 1366423188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 5/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	R0072206	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q50525	MEDICARE UPIN
2	200044350A	MEDICAID	OKLAHOMA
3	276481YLV0	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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