CONNER JACKSON BADIYAN
NPI 1194610303
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 09, 2025
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Conner Jackson Badiyan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNER JACKSON BADIYAN (NPI 1194610303) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1194610303
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNER JACKSON BADIYAN
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address5704 Pecan Hill CtStillwater, OK 74074-2073 · (405) 612-8825
Sole ProprietorYes
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1194610303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conner Badiyan's NPI number?

The NPI number for Conner Badiyan is 1194610303. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Conner Badiyan located?

Conner Badiyan practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Conner Badiyan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Conner Badiyan was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.