NPIMap

Individual provider Active NPI

Lauren Binder Kuykendall, P.A.-C

  • Medical Physician Assistant
  • Weatherford, OK
National Provider Identifier
1013967694
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
817 Issued in OK
Practice address
523 E Franklin Ave
Weatherford, OK 73096-5337
Phone
(580) 774-7902
Fax
(580) 774-7912
NPI assigned
May 12, 2006
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 817 OK Primary

Addresses

Primary practice location

523 E Franklin Ave
Weatherford, OK 73096-5337

Mailing address

4200 Carriage Way
Weatherford, OK 73096-9614
Phone (580) 774-2214

Other practice location 1

4200 Carriage Way
Weatherford, OK 73096-9614
Phone (580) 774-2214

Other identifiers 1

IdentifierTypeStateIssuer
100102470CMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.kuykendall.1@4696.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000368 OK Practitioner - Physician Assistant 6103889829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S LL Males
Cheyenne, OK 73628
Phone (580) 497-3336

P O Box
Suite 490
Cheyenne, OK 73628-0490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Roger Mills County Hospital Authority Past Accepting new patients
Roger Mills County Hospital Authority Past Accepting new patients
Weatherford Hospital Authority Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren.kuykendall.1@4696.direct.athenahealth.com
  • Direct secure messaging: whalbinder@yourcarecommunity.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1013967694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CARRIAGE WAY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969614",
            "telephone_number": "580-774-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E FRANKLIN AVE",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965337",
            "telephone_number": "580-774-7902",
            "fax_number": "580-774-7912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Carriage Way",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730969614",
            "country_code": "US",
            "telephone_number": "580-774-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINDER KUYKENDALL",
        "first_name": "LAUREN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102470C",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.kuykendall.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "523 E Franklin Ave",
            "city": "Weatherford",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730965337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.