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Deactivated NPI 1093158131 Deactivated / Inactive NPI Female Practitioner

Angela Yvonne Davis , CDT

Technician, Other • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Angela Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 08, 2013
NPI Deactivation Date February 01, 2019
Total Practice Duration ~6 Years of Practice (2013 – 2019)

Professional Overview & Biography Verified Profile Summary

Angela Davis, CDT was a registered Technician, Other practicing in Tulsa, OK. Throughout an active medical career spanning 6 years, Angela Davis provided care at the practice location at 6333 E SKELLY DR until profile deactivation on 2019-02-01.

Practice Location & Contact Primary Location

Practice Address

6333 E Skelly Dr

Tulsa, OK 741356106

Telephone 9186644224
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Tulsa, OK (81 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jerry Manus

Case Manager/Care Coordinator

NPI 1003465246
Tanya Crawford , RN

Registered Nurse

NPI 1003662297

Registered Nurse

Kimberly Tripp

Peer Specialist

NPI 1013606078
Jayson Swisher

Peer Specialist

NPI 1023798022
Glory Kalakurcha , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1033344411

Master of Arts

Lajeune Mcgoldrick , RN

Registered Nurse

NPI 1033627708

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 01, 2019

Record deactivated on February 01, 2019

NPI Profile Active April 08, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 08, 2013

Registered at 6333 E SKELLY DR, TULSA, OK 741356106 (Tel: 9186644224)

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Updated Business Mailing Address April 08, 2013

Registered at 8127 E 12TH ST APT 9A, TULSA, OK 741127964 (Tel: 9184026788)

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Provider Name / Credentials Updated April 08, 2013

Recorded as ANGELA DAVIS, CDT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2013

Technician, Other

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Initial NPI Registration & Enumeration April 08, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093158131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2013
Last Update: April 08, 2013
Deactivation Date: February 01, 2019

Mailing Address

8127 E 12th St Apt 9a

Tulsa, OK 741127964

Phone: 9184026788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.