Individual provider Active NPI

Kathryn Marie Feisal, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1255673349
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
APA2251 Issued in OK
Practice address
4140 W Memorial Rd
Suite 208
Oklahoma City, OK 73120-8366
Phone
(405) 749-4230
Fax
(405) 749-4228
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X APA2251 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Suite 208
Oklahoma City, OK 73120-8366

Mailing address

4140 W Memorial Rd
Suite 208
Oklahoma City, OK 73120-8366
Phone (405) 749-4230

Other names 1

  • Kathryn Marie Rhodes Former name

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
I20130820000446 OK Practitioner - Physician Assistant 3375785421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2251OKMDPhysical Therapy Assistant
APA2251OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kfeisal350970@directc.mercy.net

Organizations & group practices 2

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1255673349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-749-4230",
            "fax_number": "405-749-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-749-4230",
            "fax_number": "405-749-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEISAL",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "APA2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "RHODES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.