Deer Creek Family Healthcare and Wellness Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC

Practice address

3801 NW 166TH St Ste 4
Edmond, OK 73012-9279

Phone

(405) 359-1122

Fax

(405) 359-1100

NPI assigned

May 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Knox, APRN-CNPNPI 1871554808

Title

Nurse Practitioner / Owner

Phone

(405) 812-8208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim B. Knox, NP

  • Nurse Practitioner
  • Edmond, OK
  • NPI 1871554808
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly A Allen, ARNP

  • Primary Care Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1932340478
  Medicare reassignment Care Compare group NPD
• Kimberly McCoy, APRN

  • Family Nurse Practitioner
  • Edmond, OK
  • NPI 1629773155
  Medicare reassignment Care Compare group NPD
• Nana Bedua Tetteh

  • Family Nurse Practitioner
  • Piedmont, OK
  • NPI 1346809894
  Medicare reassignment Care Compare group NPD
• David Randel Allen, M.D.

  • Pulmonary Disease Physician
  • Oklahoma City, OK
  • NPI 1154398410
  Medicare reassignment NPD
• Genevieve Kathleen Darwiche, GENEVIEVE

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1821654260
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1003227414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NW 166TH ST STE 4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129279",
            "telephone_number": "405-359-1122",
            "fax_number": "405-359-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NW 166TH ST STE 4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129279",
            "telephone_number": "405-359-1122",
            "fax_number": "405-359-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 W Buena Vista",
            "address_purpose": "LOCATION",
            "city": "Cashion",
            "state": "OK",
            "postal_code": "73016",
            "country_code": "US",
            "telephone_number": "405-359-1122",
            "fax_number": "405-359-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "405-812-8208",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Randolph, LCSW, PC
• Anne Decker, R.P.T.
• Michael D. Decker, D.PH.
• Theresa Ann Decker
• Angela Dedmon, PH.D.
• Deer Creek Public Schools
• Bailee Deffebaugh
• Ashley Marie Deforest
• Danielle Degarmo
• Cristen Degraffenreid

• Primary Care Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.