Rebecca A Kidwell, RN BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

0079001 Issued in OK

Practice address

1024 Lenape Drive
Nowata, OK 74048

Phone

(918) 273-7500

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1063955276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 EAST CIR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067000",
            "telephone_number": "918-273-7500",
            "fax_number": "918-273-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 LENAPE DRIVE",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "74048",
            "telephone_number": "918-273-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "0079001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Ray Johnson
• Dakota Shaye Jones
• Debra Keith, PA
• Damita Kennard
• Bailey Kerns
• Brently C Kiesling
• Billy Al Kilpatrick II, MS
• Otis Arthur Kimball
• Sheri Lewis, LCSW
• Twillia Lewis

• Community Health Registered Nurse in Nowata, OK
• Providers in Nowata, OK by specialty
• Community Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.