Aky MD, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

AKY MD, LLC

Doing business as

Just Kids Pediatrics

Practice address

400 N Eastern Ave
Moore, OK 73160-5833

Phone

(405) 757-7818

Fax

(405) 703-0645

NPI assigned

Aug 30, 2013

Last updated

Aug 5, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

AKY, MD LLCAs reported in NPPES

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

Authorized official

Name

Lesley Henthorn

Title

Credentialing

Phone

(052) 373-7704

Specialties & licenses 5

Addresses

Other identifiers 5

Other names 1

• Just Kids Pediatrics Doing business as

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

CLIA laboratory certificates

Tax ID family

Aky MD LLC2 organizations share this tax ID, including this one

Part of

Aky MD LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aky MD LLC

  • Preferred Provider Organization
  • Oklahoma City, OK
  • NPI 1568852135
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Aky MD LLC

  • Preferred Provider Organization
  • Oklahoma City, OK
  • NPI 1568852135
  NPPES parent name

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chelsea Allen

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1871126573
  NPD (past)
• Pushma Bajracharya, DNP, APRN, FNP-CNP

  • Primary Care Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1578266417
  NPD (past)
• Destany M Barger, SLPA

  • Speech-Language Assistant
  • Moore, OK
  • NPI 1417795808
  NPD (past)
• John E Beavers, MD

  • Family Medicine Physician
  • Bethany, OK
  • NPI 1386615839

  Pediatrics

  NPD (past)
• Shannan Beth Bond, D.O.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1619059466
  NPD (past)
• Joe Bynum Bourland, PA

  • Physician Assistant
  • Midwest City, OK
  • NPI 1306827373
  NPD (past)
• Mary Danielle Branson, APRN, FNP-C

  • Family Nurse Practitioner
  • Mustang, OK
  • NPI 1578458550
  NPD (past)
• Rachel Branton, APRN-CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1871143206
  NPD (past)
• Elizabeth Ann Carlton, APRN

  • Pediatrics Physician
  • Oklahoma City, OK
  • NPI 1720494354
  NPD (past)
• Brenda Iliana Castillo, NP

  • Pediatric Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1083060974
  NPD (past)
• Harperminder Bedi Chawla, MD

  • Pediatrics Physician
  • Seminole, OK
  • NPI 1003886144
  NPD (past)
• Jose D Clay-Flores, MD

  • Pediatrics Physician
  • Oklahoma City, OK
  • NPI 1851302574
  NPD (past)

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1063846699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891625",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731891625",
            "telephone_number": "405-757-7818",
            "fax_number": "888-673-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605833",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 W Hefner Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731624704",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12455 E 100th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554678",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12512 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741291806",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 S Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741126826",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14424 N May Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731345155",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7530 NW 23rd St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "OK",
            "postal_code": "730084921",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 SW 25th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731095927",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 E SW 59th St",
            "address_purpose": "LOCATION",
            "city": "Mustang",
            "state": "OK",
            "postal_code": "730644722",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 SW 89th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731596332",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 S Air Depot Blvd",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731104836",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AKY MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AKY, MD LLC",
        "enumeration_date": "2013-08-30",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "HENTHORN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "052-373-7704"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509800C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509800",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509800B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509800A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509800D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Kids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Just Kids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Acevedo
• Edgar Acuna
• Lechanda C Adams
• Wennie Mae Agbale
• Abdul-Rahman Al-Jarrah
• Justine Aeriel Garcia Alcera, MA
• Lauren Michelle Alcorn
• Jennifer Marie Alexander, MPT
• Linsey Nicole Alexander

• Pediatrics Physician in Moore, OK
• Providers in Moore, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.