Individual provider Active NPI

Heather Renee' Ranger Kobel, PHD

  • Psychologist
  • Tulsa, OK
National Provider Identifier
1417945346
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone
(918) 901-9701
Fax
(918) 901-9702
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

9320 S Mingo Rd
Tulsa, OK 74133-5710

Mailing address

9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone (918) 901-9701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
57.52 of 100Reported as group
Quality
0
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1046OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain of Tulsa PLLC CurrentSince May 15, 2019 Accepting new patients

Locations

9320 S Mingo Rd
Tulsa, OK 74133
Phone (918) 459-4000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1417945346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-901-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-901-9701",
            "fax_number": "918-901-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGER KOBEL",
        "first_name": "HEATHER",
        "middle_name": "RENEE'",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.