Organization Active NPI

Sally Sibiski Kennedy Aprn-Crna PC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1295105302
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0102303 Issued in OK
Legal business name
SALLY SIBISKI KENNEDY APRN-CRNA PC
Practice address
100 SE 59TH St
Oklahoma City, OK 73129-3616
Phone
(405) 634-9300
Fax
(405) 634-1318
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Sally S Kennedy, CRNA
Title
President
Phone
(405) 816-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R0102303 OK Primary

Addresses

Primary practice location

100 SE 59TH St
Oklahoma City, OK 73129-3616

Mailing address

419 W Gray St
Norman, OK 73069-7117
Phone (405) 329-7300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1295105302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W GRAY ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697117",
            "telephone_number": "405-329-7300",
            "fax_number": "405-364-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SE 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731293616",
            "telephone_number": "405-634-9300",
            "fax_number": "405-634-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY SIBISKI KENNEDY APRN-CRNA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-816-7828",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0102303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.