Cammie Ladawn Wyckoff, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0071717 Issued in OK

Practice address

1500 Cookson Dr
Ponca City, OK 74604-4109

Phone

(580) 977-8684

NPI assigned

Jul 21, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1447868849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 COOKSON DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044109",
            "telephone_number": "580-977-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COOKSON DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044109",
            "telephone_number": "580-977-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCKOFF",
        "first_name": "CAMMIE",
        "middle_name": "LADAWN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0071717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Wright
• Barbara Wright, LMSW, LCSW, ACHP-SW
• Holly Wright, PT, DPT
• Kathryn G Wright, RN
• Stephanie Lynn Wright
• Krista M Wynn
• Renee Pauline Young
• Brian James Zwanziger, O.D.
• Jason Zwink

• Registered Nurse in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.