Individual provider Active NPI

Amy Danielle Hulsey, CNS

  • Clinical Nurse Specialist
  • Bethany, OK
National Provider Identifier
1225245194
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
66211 Issued in OK
Practice address
6800 NW 39TH Expressway
Bethany, OK 73008
Phone
(405) 789-6711
Fax
(405) 349-5145
NPI assigned
May 17, 2007
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 66211 OK Primary
Pediatric Clinical Nurse Specialist 364SP0200X 0066211 OK

Addresses

Primary practice location

6800 NW 39TH Expressway
Bethany, OK 73008

Mailing address

6800 NW 39TH Expressway
Bethany, OK 73008
Phone (405) 789-6711

Other identifiers 1

IdentifierTypeStateIssuer
200115170AMedicaidOK

Other names 1

  • Amy Danielle Kluge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
66211OKMDClinical Nurse Specialist
0066211OKMDPediatric Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1225245194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NW 39TH EXPRESSWAY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "405-789-6711",
            "fax_number": "405-789-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NW 39TH EXPRESSWAY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "405-789-6711",
            "fax_number": "405-349-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "AMY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OK",
            "license": "66211",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "OK",
            "license": "0066211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200115170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KLUGE",
            "middle_name": "DANIELLE",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.