Kendra Diane Round, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

92642 Issued in OK

Practice address

615 S 32ND St
Muskogee, OK 74401-5012

Phone

(539) 239-5240

Fax

(539) 239-5249

NPI assigned

Feb 16, 2013

Last updated

May 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1033459763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12877 E 213TH ST S",
            "city": "WEBBERS FALLS",
            "state": "OK",
            "postal_code": "744706531",
            "telephone_number": "918-441-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S 32ND ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015012",
            "telephone_number": "539-239-5240",
            "fax_number": "539-239-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUND",
        "first_name": "KENDRA",
        "middle_name": "DIANE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas Sebastion Ross
• Patrick James Ross, M.D.
• Quinton Ross III
• Phyllis Marjann Rosson, PTA
• Russell B Roth, M.D.
• Emilea Louann Rouse
• Linda Kay Rouse
• Garrick Kurtis Rowan
• Chare Rowland, LMT
• Russell Rowland

• Family Nurse Practitioner in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.