Amanda Rae Kemp, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R0119028 Issued in OK

Practice address

2460 NW 39TH St
Oklahoma City, OK 73112-8956

Phone

(405) 948-1770

NPI assigned

Oct 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Ywca Oklahoma City

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1811133143
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1336921907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CHESTERFIELD PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731796018",
            "telephone_number": "405-824-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 NW 39TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128956",
            "telephone_number": "405-948-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "R0119028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen B. Kelly, M.D.
• Zamir Kelly, DDS
• Christopher Kelso, M.D.
• Jason L Keltner, PHYSICAL THERAPIST
• Micaela Kemerling, MD
• Amber Kemp
• Brandon Ambrose Kemp
• Jenna L Kemp
• Nathaniel Christopher Kemp
• Karla Kemph

• Community Health Registered Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.