Keys Family Health Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0068390 Issued in OK

Legal business name

KEYS FAMILY HEALTH CLINIC

Practice address

26251 Hwy 82 Suite 1
Park Hill, OK 74451

Phone

(918) 207-0667

Fax

(918) 207-0683

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Brian Eugene Cookson, A.R.N.P

Title

Nurse Practitioner/Owner

Phone

(918) 931-1115

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1144461518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26251 HWY 82 SUITE 1",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "74441",
            "telephone_number": "918-207-0667",
            "fax_number": "918-207-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26251 HWY 82 SUITE 1",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "74451",
            "telephone_number": "918-207-0667",
            "fax_number": "918-207-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS FAMILY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "COOKSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "918-931-1115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.R.N.P"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0068390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200117240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Hitchcock, PHARMD
• Patricia Blanche Holderby, MSED
• Keys Chiropractic Clinic LLC
• Keys Family Dentistry
• Keys Family Eye Care PLC
• Keys Public School
• Kevin Evins Klinger
• Dorthy Jean Maxey
• April Dawn Miggletto, SLP
• Maggie A. Pack, D.C.

• Family Nurse Practitioner in Park Hill, OK
• Providers in Park Hill, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.