Kayxandra Koonce

Primary specialty

Social WorkerTaxonomy code 104100000X

License

G083213750 Issued in OK

Practice address

101 N Union Ave
Shawnee, OK 74801-7067

Phone

(405) 275-7100

Fax

(405) 275-7105

NPI assigned

Sep 22, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1235531245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33101 HARDESTY RD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748015677",
            "telephone_number": "405-338-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017067",
            "telephone_number": "405-275-7100",
            "fax_number": "405-275-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "KAYXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "G083213750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Klinger
• Lisa Anne Knight, PT
• Johna Marie Knopp, LPN
• Makayla Kolat
• Jennifer M. Koonce, DDS
• Kelli Denise Koons, M.D.
• Gina Kraft, ATC
• Chris Kunze, R.N.
• Ronald Dean Lacen
• Cathryn L Ladoux

• Social Worker in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.