Kindred Wings

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KINDRED WINGS

Practice address

2816 Pacifica LN
Edmond, OK 73034-6099

Phone

(405) 740-2247

NPI assigned

Jan 16, 2017

Last updated

Jan 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Rader

Title

Founder & President

Phone

(405) 740-2247

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1417493313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 PACIFICA LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 PACIFICA LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346099",
            "telephone_number": "405-740-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED WINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "FOUNDER & PRESIDENT",
        "authorized_official_telephone_number": "405-740-2247"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly a. S Pears Me, LPC, Inc.
• Kimberly Dean Ma LMFT PLLC
• Kimberly Edgmon MD, PLLC
• Samuel Kimbrough, PA-C
• Gina Kincade
• Catherine Marie Kindt, APRN, FNP-C
• Erin Elisabeth King-Bickle, LPC
• Brittany King, PTA
• Cathy Lee King, DDS
• Danae D King

• Voluntary or Charitable Agency in Edmond, OK
• Providers in Edmond, OK by specialty
• Voluntary or Charitable Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.