Kimberly Anne Calhoun, APRN-CNP, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0082221 Issued in OK

Practice address

705 SW 19TH St Ste 120
Moore, OK 73160-3052

Phone

(405) 492-6799

Fax

(405) 595-0579

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mercy Oklahoma Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1922509173
  Medicare reassignment Care Compare group NPD
• Healthcare Stat

  • Primary Care Clinic/Center
  • Chickasha, OK
  • NPI 1609029644
  Medicare reassignment NPD
• Healthcare Stat of Newcastle LLC

  • Family Nurse Practitioner
  • Newcastle, OK
  • NPI 1346796604
  Medicare reassignment NPD
• Complete Family Wellness and Urgent Care

  • Primary Care Nurse Practitioner
  • Lindsay, OK
  • NPI 1679153548
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1275019598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SW 19TH ST STE 120",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603052",
            "telephone_number": "405-492-6799",
            "fax_number": "405-595-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SW 19TH ST STE 120",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603052",
            "telephone_number": "405-492-6799",
            "fax_number": "405-595-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "82221",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0082221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lachelle Burton, REGISTERED NURSE
• Savannah Buteau
• McKayla Brooke Byrd
• Cac of Yukon
• Angelica Caldera
• Serena Campbell, LMSW-P
• Cheri Lyn Cantrell-McCoy, LPC
• Catrina Blaise Cantwell
• Tram Bich Cao, PT
• Payton Carothers

• Family Nurse Practitioner in Moore, OK
• Providers in Moore, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.