Active NPI
Jamie Larie Kitchens, DNP, APRN, CNP
- Family Nurse Practitioner
- Broken Arrow, OK
National Provider Identifier
1124532890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 54344
- Practice address
- 2617 S Elm PL
Broken Arrow, OK 74012-7850 - Phone
- (918) 455-4541
- Fax
- (918) 455-0414
- NPI assigned
- Nov 16, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 54344 | OK | Primary |
Addresses
Primary practice location
2617 S Elm PL
Broken Arrow, OK 74012-7850
Mailing address
1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3825
Other practice location 1
800 S Tucker Dr
Tulsa, OK 74104-9700
Phone (918) 631-3116
Other practice location 2
8115 S Memorial Dr
Tulsa, OK 74133-4331
Phone (918) 254-6315
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Interoperability endpoints
- jkitchens272805@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1124532890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE STE 110",
"city": "TULSA",
"state": "OK",
"postal_code": "741044013",
"telephone_number": "918-579-3825",
"fax_number": "918-403-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 S ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127850",
"telephone_number": "918-455-4541",
"fax_number": "918-455-0414"
}
],
"practiceLocations": [
{
"address_1": "800 S Tucker Dr",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741049700",
"country_code": "US",
"telephone_number": "918-631-3116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8115 S Memorial Dr",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741334331",
"country_code": "US",
"telephone_number": "918-254-6315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITCHENS",
"first_name": "JAMIE",
"middle_name": "LARIE",
"name_prefix": "Ms.",
"credential": "DNP, APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "54344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.