Amy Kathleen Herron

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2116 Issued in OK

Practice address

9780 E Swan Dr
Claremore, OK 74019-5015

Phone

(918) 671-6660

NPI assigned

May 14, 2013

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

Other names 1

• Amy Kathleen Runyon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1346686557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 E SWAN DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740195015",
            "telephone_number": "918-671-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 E SWAN DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740195015",
            "telephone_number": "918-671-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RUNYON",
            "middle_name": "KATHLEEN",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cory Henry, DMD
• Gabi Taylor Henry
• John Brett Henry, DDS
• Kimberly Gale Henry
• Robert A Henson
• Phyllis Elizabeth Hess, MASTER OF SCIENCE
• Katherine Hewitt
• Natasha Louise Heyer, CM 2 PRSS BWC MSW
• HHS Medical Services PC
• Bryce Hicks, RD, LD

• Physical Therapy Assistant in Claremore, OK
• Providers in Claremore, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.