Kyla Marie Lussier, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25858 Issued in OK

Practice address

1755 N Highway 66
Suite F
Catoosa, OK 74015-2409

Phone

(918) 739-4885

Fax

(918) 739-4886

NPI assigned

Jun 29, 2007

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

Other identifiers 1

Other names 1

• Dr. Kyla Lussier Critchfield Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morton Comprehensive Health Services IncGroup PAC ID 1951297621, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyla.lussier@mchs.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1275528085
  Medicare reassignment Care Compare group NPD
• Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1457166522
  NPD
• New Day Clinic of Catoosa, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Catoosa, OK
  • NPI 1700254737
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1205033446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2035",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740152926",
            "telephone_number": "918-739-4885",
            "fax_number": "918-739-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N HIGHWAY 66",
            "address_2": "SUITE F",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740152409",
            "telephone_number": "918-739-4885",
            "fax_number": "918-739-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSSIER",
        "first_name": "KYLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "25858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200208170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "CRITCHFIELD",
            "middle_name": "LUSSIER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Michael Krafft, PT
• Adam Lesher
• Madison Rene Lester, RPH
• Kyla Renee Lewis
• Cherish Christina Rachelle Longaberger
• Morgan Maldonado, DPT
• Cheyenne Sue Martin
• Michele Lynn Mathes, NCC
• Jennifer Lynea McCombs, PHARM. D., RPH
• Candy Ann McCormick

• Psychiatry Physician in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.

Verify at the official NPI Registry.