Myra Bess McKiddy, R.N.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

48859 Issued in OK

Practice address

2307 South Gordon Cooper Drive
Citizen Potawatomi Nation/Firelake Wellness Center
Shawnee, OK 74801

Phone

(405) 395-9303

Fax

(405) 395-9305

NPI assigned

Jul 2, 2006

Last updated

Jul 8, 2007By 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

Registered Nurse

State licenses

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174552095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 218",
            "address_2": "HIGHWAY # 9",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748730218",
            "telephone_number": "405-395-9303",
            "fax_number": "405-395-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 SOUTH GORDON COOPER DRIVE",
            "address_2": "CITIZEN POTAWATOMI NATION/FIRELAKE WELLNESS CENTER",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74801",
            "telephone_number": "405-395-9303",
            "fax_number": "405-395-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIDDY",
        "first_name": "MYRA",
        "middle_name": "BESS",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OK",
            "license": "48859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana McGough
• Ramona Lynn McGuire, LPN
• Zoee McKee
• Joseph Carnelius McKenna, MD
• Richard Aaron McKey
• Melody Kay Lowe McKitrick, D.D.S.
• Jessica Kate McLaughlin, O.T.R.
• Sarah McLaughlin
• Walter Clay McLaughlin, OD
• Nan Katherine Ann McMahan, PT, DPT

• Diabetes Educator Registered Nurse in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Diabetes Educator Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.