Active NPI
Kyndra Dawn Morris, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1205174307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2205
- Practice address
- 13128 N Macarthur Blvd
Oklahoma City, OK 73142-3017 - Phone
- (405) 945-0001
- NPI assigned
- Jan 23, 2013
- Last updated
- Oct 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04956 | NC | |
| Physician Assistant | 363A00000X | 2205 | OK | Primary |
Addresses
Primary practice location
13128 N Macarthur Blvd
Oklahoma City, OK 73142-3017
Mailing address
2290 Community PL
Harrah, OK 73045-1119
Phone (580) 504-2057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2205 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oca MWC LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1205174307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 COMMUNITY PL",
"city": "HARRAH",
"state": "OK",
"postal_code": "730451119",
"telephone_number": "580-504-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13128 N MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731423017",
"telephone_number": "405-945-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KYNDRA",
"middle_name": "DAWN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04956",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.