KALA MARIE GAYDOS (NPI# 1972876191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972876191 |
| Entity Type | Individual |
| Full Name | KALA MARIE GAYDOS |
| Credential | APRN-CNP |
| Practice Address |
3336 E 32nd St Ste 220 Tulsa OK 74135 |
| Mailing Address |
10512 N 110th East Ave Ste 220 Owasso OK 74055-6638 |
| Practice Telephone | 9183980800 |
| Practice Fax Number | 9183980800 |
| Mailing Telephone | 9183768830 |
| Mailing Fax Number | 9183768839 |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 96559 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
820817 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
96559 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200772750A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10512 N 110th East Ave Ste 220, Owasso, OK 740556638 | 9183768830 | 9183768839 |
| Street Address |
3336 E 32ND ST STE 220 |
| City | TULSA |
| State | OK |
| Zip Code | 74135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129733 | Adam Joseph Wallace | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2008-06-29 |
| 1689144602 | The Spine and Pain Center LLC | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403037 | Molly Lewis | Nurse Practitioner | 9001 S 101st East Ave Ste 230, Tulsa, OK 74133-5797 | 2020-07-02 |
| 1861036055 | Carmen Gabriela Nateras | Nurse Practitioner | 5970 E 31st St Ste I, Tulsa, OK 74135-5112 | 2019-10-31 |
| 1699323097 | Leslie Burton | Nurse Practitioner | 7912 E 31st Ct Ste 320, Tulsa, OK 74145-1305 | 2019-08-28 |
| 1902361538 | Jonathan Michael Ranck | Nurse Practitioner | 3430 E 87th Pl, Tulsa, OK 74137-2637 | 2019-02-07 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1326527060 | Kelly Watson | Nurse Practitioner | 6802 S Olympia Ave Ste 300, Tulsa, OK 74132-1826 | 2018-08-13 |
| 1104287713 | Christina Hynes | Nurse Practitioner | 2000 S Wheeling Ave Ste 600, Tulsa, OK 74104-5645 | 2016-03-09 |
| 1447660303 | Cecilia Shaw | Nurse Practitioner | 3159 S Madison Ave, Tulsa, OK 74105-2035 | 2014-04-30 |
| 1609139153 | Jessica Ann Brewer | Nurse Practitioner | 2907 S Boston Ct, Tulsa, OK 74114-5214 | 2012-06-20 |
| 1306138896 | Matrix Medical Network of Oklahoma LLC | Nurse Practitioner | 8211 E Regal Pl Ste 100-103, Tulsa, OK 74133-7167 | 2011-05-03 |
| 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.