Oologah Pediatric Care, PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

OOLOGAH PEDIATRIC CARE, PLLC

Doing business as

Oologah Pediatric Care

Practice address

115 W Atlas Ave
Oologah, OK 74053-3349

Phone

(918) 376-3299

Fax

(918) 876-4541

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Kelsey Lillard, APRN, CPNP-PCNPI 1871009019

Title

Owner

Phone

(918) 376-3299

Specialties & licenses 1

Addresses

Other names 1

• Oologah Pediatric Care Doing business as

Tax ID family

Central Pediatric Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oologah Pediatric Care PLLC

  • Pediatric Nurse Practitioner
  • Oologah, OK
  • NPI 1942067814
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Marie Lillard, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Oologah, OK
  • NPI 1871009019

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1164279469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740530622",
            "telephone_number": "918-376-3299",
            "fax_number": "918-876-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W ATLAS AVE",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740533349",
            "telephone_number": "918-376-3299",
            "fax_number": "918-876-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OOLOGAH PEDIATRIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "LILLARD",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-376-3299",
        "authorized_official_credential": "APRN, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oologah Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oologah Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Elisabeth McDaniel Johnson, MSW, LCSW
• Caitlyn McLemore
• Midwest Mobile Radiographics
• Oologah Family Medicine Tana Vogele Aprn-CNP PLLC
• Oologah Pediatric Care PLLC
• Oologah Talala Public School
• Oologah-Talala EMS District
• Oologah-Talala Public Schools
• Christopher Passmore, LPC
• Peoples Family Counseling LLC

• Pediatric Nurse Practitioner in Oologah, OK
• Providers in Oologah, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.