Active NPI
Nancy Jean Kizer
- Substance Abuse Rehabilitation Facility
- Jennings, OK
National Provider Identifier
1417214578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 324500000X
- Practice address
- 808 Oak
Jennings, OK 74038 - Phone
- (918) 935-9934
- NPI assigned
- Apr 13, 2012
- Last updated
- Apr 13, 2012
- 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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 324500000X | OK | Primary |
Addresses
Primary practice location
808 Oak
Jennings, OK 74038
Mailing address
P.O.Boz321
Jennings, OK 74038
Phone (918) 935-9934
Other names 1
- Ms. Nancy Jean Kilpatrick
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 |
|---|---|---|---|
| 324500000X | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1417214578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOZ321",
"city": "JENNINGS",
"state": "OK",
"postal_code": "74038",
"telephone_number": "918-935-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 OAK",
"city": "JENNINGS",
"state": "OK",
"postal_code": "74038",
"telephone_number": "918-935-9934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZER",
"first_name": "NANCY",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OK",
"license": "324500000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "KILPATRICK",
"middle_name": "JEAN",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jennings, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.