Active NPI
Kristie Lee Koble
- Peer Specialist
- Muskogee, OK
National Provider Identifier
1053942599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 619 N Main St
Muskogee, OK 74401-4431 - Phone
- (918) 687-1039
- Fax
- (918) 683-9484
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
619 N Main St
Muskogee, OK 74401-4431
Mailing address
619 N Main St
Muskogee, OK 74401-4431
Phone (918) 687-1039
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristie.koble@gcbhs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1053942599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 N MAIN ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014431",
"telephone_number": "918-687-1039",
"fax_number": "918-683-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N MAIN ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014431",
"telephone_number": "918-687-1039",
"fax_number": "918-683-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBLE",
"first_name": "KRISTIE",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristie.koble@gcbhs.org",
"affiliation": "N",
"endpointDescription": "work",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "619 N Main St",
"city": "Muskogee",
"state": "OK",
"country_code": "US",
"postal_code": "744014431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.