Organization Active NPI

Kidzchoice, PC

  • Pediatric Nurse Practitioner
  • McAlester, OK
National Provider Identifier
1043430077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R0062969 Issued in OK
Legal business name
KIDZCHOICE, PC
Practice address
101 Oklahoma Ave
McAlester, OK 74501-7508
Phone
(918) 423-4900
Fax
(918) 423-4905
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia N Sanford
Title
President
Phone
(918) 423-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X R0062969 OK Primary

Addresses

Primary practice location

101 Oklahoma Ave
McAlester, OK 74501-7508

Mailing address

101 Oklahoma Ave
McAlester, OK 74501-7508
Phone (918) 423-4900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043430077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OKLAHOMA AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017508",
            "telephone_number": "918-423-4900",
            "fax_number": "918-423-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OKLAHOMA AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017508",
            "telephone_number": "918-423-4900",
            "fax_number": "918-423-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZCHOICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-423-4900"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "R0062969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.