Active NPI
Kimberly Yvette Hestand, NP-C
- Nurse Practitioner
- Hollis, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 85865
- Practice address
- 400 E Sycamore St
Hollis, OK 73550 - Phone
- (580) 688-2800
- Fax
- (580) 688-2193
- NPI assigned
- Nov 25, 2015
- Last updated
- Mar 13, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 85865 | OK | Primary |
| Family Nurse Practitioner | 363LF0000X | F1015324 | OK |
Addresses
Primary practice location
400 E Sycamore St
Hollis, OK 73550
Mailing address
400 E Sycamore St
Hollis, OK 73550-1436
Phone (580) 688-2800
Other practice location 1
100 N 30th St
Clinton, OK 73601-3117
Phone (580) 323-2300
Other practice location 2
400 E Sycamore St
Hollis, OK 73550
Phone (580) 688-2800
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 E Sycamore St
Hollis, OK 73550-1436
Phone (580) 688-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1015324 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shortgrass Community Health Center, Inc | Current | Accepting new patients | |
| Shortgrass Community Health Center, Inc | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
101 S Hudson St
Altus, OK 73521
Phone (580) 301-6154
400 E Sycamore St
Hollis, OK 73550
Phone (580) 688-2800
Interoperability endpoints
- kimberlyhestand@schc.secure.relimedsolutions.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Altus, OK
- NPI 1982263752
-
- Federally Qualified Health Center (FQHC)
- Hollis, OK
- NPI 1255695201
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1114391315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E SYCAMORE ST",
"city": "HOLLIS",
"state": "OK",
"postal_code": "735501436",
"telephone_number": "580-688-2800",
"fax_number": "580-688-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E SYCAMORE ST",
"city": "HOLLIS",
"state": "OK",
"postal_code": "73550",
"telephone_number": "580-688-2800",
"fax_number": "580-688-2193"
}
],
"practiceLocations": [
{
"address_1": "100 N 30th St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "OK",
"postal_code": "736013117",
"country_code": "US",
"telephone_number": "580-323-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Sycamore St",
"address_purpose": "LOCATION",
"city": "Hollis",
"state": "OK",
"postal_code": "73550",
"country_code": "US",
"telephone_number": "580-688-2800",
"fax_number": "580-688-2193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HESTAND",
"first_name": "KIMBERLY",
"middle_name": "YVETTE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-25",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "85865",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "F1015324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, OK
- Harmon County Healthcare Authority (Colonial Manor I)
- Harmon County Healthcare Authority (Harmon County Home Health Care)
- Harmon County Healthcare Authority (Harmon Medical Clinc)
- Harmon County Healthcare Authority (Harmon Memorial Hospital)
- Harmon County Healthcare Trust Authority (Colonial Manor II)
- Hollis Public School
- Jackson County Memorial Hospital Authority (Harmon Memorial Hospital)
- Jackson County Memorial Hospital Authority (Harmon Memorial Hospital)
- Jackson County Memorial Hospital Authority (JCMH Rural Health Clinic of Hollis)
- William J Kok, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.
- 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.