KRISTIN MARIAH PRUITT (NPI# 1043686868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043686868 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIAH PRUITT |
| Credential | APRN-CNS |
| Practice Address |
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243 |
| Practice Telephone | 9185920999 |
| Practice Fax Number | 9185921021 |
| Mailing Telephone | 9185920999 |
| Mailing Fax Number | 9185921021 |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 96479 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1265 S UTICA AVE SUITE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124829 | Deanene K Tonn | Physician Assistant | 1265 S Utica Ave, Ste 300, Tulsa, OK 74104-4243 | 2005-06-17 |
| 1790318426 | Pavel Greg Buzadzhi | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2020-02-21 |
| 1447735055 | Jonathan Daniel Bouldin | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-09-28 |
| 1265910269 | Lara Madison Long | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-08-01 |
| 1760969497 | Megan L Vitrano | Clinical Nurse Specialist | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-25 |
| 1790262012 | Brooke Nichol Weaver | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1013409945 | Kristopher Wayne Mcdonald | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-06-06 |
| 1942797238 | Jay W Vazquez | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-04-23 |
| 1861937013 | Kelleigh Deeann Sprott | Physician Assistant | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2016-12-27 |
| 1083071534 | Eugenia Lynn Pulliam | Physician Assistant | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2016-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842848 | Integrated Care Professionals of Oklahoma, LLC | Clinical Nurse Specialist | 1831 E 71st St Ste 323, Tulsa, OK 74136-3922 | 2020-08-17 |
| 1811968977 | Veronica Lynn Wells | Clinical Nurse Specialist | 4502 E 41 St, Ste 2g12, Tulsa, OK 74135 | 2006-01-27 |
| 1073146312 | Tammy Irene Joplin | Clinical Nurse Specialist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-02-14 |
| 1760969497 | Megan L Vitrano | Clinical Nurse Specialist | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-25 |
| 1356828594 | Andrea Diane Willibey | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1437670585 | Lauren E Stegemann | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2017-06-29 |
| 1376967299 | Lindsey Remmert | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2014-02-12 |
| 1093151169 | Lisa Kay Lee | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2013-05-16 |
| 1457618613 | Kristy Kay Martin | Clinical Nurse Specialist | 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 | 2012-04-12 |
| 1578834396 | Stephanie Moore | Clinical Nurse Specialist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2012-01-25 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.