Individual provider Active NPI

Kristen A Battles, DO

  • Family Medicine Physician
  • Broken Arrow, OK
National Provider Identifier
1265677819
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-6749 Issued in AR
Practice address
2617 S Elm PL
Broken Arrow, OK 74012
Phone
(918) 455-4541
Fax
(918) 449-9743
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-6749 AR Primary

Addresses

Primary practice location

2617 S Elm PL
Broken Arrow, OK 74012

Mailing address

2617 S Elm PL
Broken Arrow, OK 74012-7850
Phone (918) 455-4541

Other practice location 1

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-5078

Other identifiers 1

IdentifierTypeStateIssuer
200223570AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090415000656 OK Practitioner - Family PracticePractitioner - Emergency Medicine 5092862797 Reassigns benefits to 1 organization
I20100823000859 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Other (Physician) 5092862797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-6749ARMDFamily Medicine Physician
4614OKMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Feb 18, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Feb 18, 2021 Accepting new patients
Healogics Specialty Physicians of Oklahoma, PLLC Family Medicine CurrentSince Aug 5, 2022 Accepting new patients

Locations

222 NE Debell Ave
Bartlesville, OK 74006
Phone (918) 331-1867

2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280

2716 W Gore Blvd
Lawton, OK 73505
Phone (380) 357-3280

1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280

Dept 1467
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: kristen.battles@214522098548740.direct.elationemr.com

Organizations & group practices 3

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1265677819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127850",
            "telephone_number": "918-455-4541",
            "fax_number": "918-449-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-455-4541",
            "fax_number": "918-449-9743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Towson Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014921",
            "country_code": "US",
            "telephone_number": "479-441-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTLES",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-6749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200223570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.