Individual provider Active NPI

Kathryn Ann Schneider

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1235728163
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200910 Issued in OK
Practice address
13029 Burlingame Ave
Oklahoma City, OK 73120-8704
Phone
(405) 823-0506
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0107138 OK
Family Nurse Practitioner 363LF0000X 200910 OK Primary

Addresses

Primary practice location

13029 Burlingame Ave
Oklahoma City, OK 73120-8704

Mailing address

13029 Burlingame Ave
Oklahoma City, OK 73120-8704
Phone (405) 823-0506

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000082 OK Practitioner - Nurse Practitioner 4981008661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0107138OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fazal Akbar Ali MD PC CurrentSince Jul 1, 2021 Accepting new patients

Locations

4221 S Western Ave
Ste 5020
Oklahoma City, OK 73109
Phone (405) 636-7412

Interoperability endpoints

  • Direct secure messaging: klower238276@direct.integrisok.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1235728163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13029 BURLINGAME AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208704",
            "telephone_number": "405-823-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13029 BURLINGAME AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208704",
            "telephone_number": "405-823-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0107138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.