Active NPI
Kimberly Cardwell
- Mental Health Counselor
- Vinita, OK
National Provider Identifier
1366842338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6022
- Practice address
- 405 E Excelsior Ave
Vinita, OK 74301-4226 - Phone
- (918) 256-6476
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6022 | OK | Primary |
Addresses
Primary practice location
405 E Excelsior Ave
Vinita, OK 74301-4226
Mailing address
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone (918) 256-6476
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6022 | OK | MD | Orthopaedic Foot and Ankle Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1366842338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 E EXCELSIOR AVE",
"city": "VINITA",
"state": "OK",
"postal_code": "743014226",
"telephone_number": "918-256-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 E EXCELSIOR AVE",
"city": "VINITA",
"state": "OK",
"postal_code": "743014226",
"telephone_number": "918-256-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDWELL",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "6022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.