Active NPI
Christine R Okelly, NP
- Nurse Practitioner
- Morehead, KY
National Provider Identifier
1336201128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2978P
- Practice address
- 234 Medical Circle
Morehead, KY 40351-1181 - Phone
- (606) 784-6641
- Fax
- (606) 780-2374
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2978P | KY | Primary |
Addresses
Primary practice location
234 Medical Circle
Morehead, KY 40351-1181
Mailing address
234 Medical Circle
Morehead, KY 40351-1181
Phone (606) 784-6641
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78003142 | Medicaid | KY | |
| 3002978 | Other | KY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2978P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel W. Gehring, PSC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Flemingsburg, KY
- NPI 1811160575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1336201128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 MEDICAL CIRCLE",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511181",
"telephone_number": "606-784-6641",
"fax_number": "606-780-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 MEDICAL CIRCLE",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511181",
"telephone_number": "606-784-6641",
"fax_number": "606-780-2374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKELLY",
"first_name": "CHRISTINE",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "2978P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78003142",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3002978",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.