Active NPI
Traditions Health Care of Enid, LLC
- Clinic/Center
- Enid, OK
National Provider Identifier
1497472468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- TRADITIONS HEALTH CARE OF ENID, LLC
- Doing business as
- Traditions Health of Enid
- Practice address
- 310 S 4TH St Ste B
Enid, OK 73701-5805 - Phone
- (580) 233-4217
- NPI assigned
- Oct 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Kerndl
- Title
- Cfo & Secretary
- Phone
- (979) 704-6547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
310 S 4TH St Ste B
Enid, OK 73701-5805
Mailing address
6840 Carothers Pkwy Ste 550
Franklin, TN 37067-8002
Phone (979) 704-6547
Other practice location 1
1423 Main St
Woodward, OK 73801-3003
Phone (580) 254-0035
Other practice location 2
712 W 3rd St
Watonga, OK 73772-2624
Phone (580) 623-7414
Other names 1
- Traditions Health of Enid
National Provider Directory
National Provider Directory- Tax ID family
- Traditions Health Care of Enid LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Enid, OK
- NPI 1255077020
-
- Home Health Agency
- Enid, OK
- NPI 1649105834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1497472468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 CAROTHERS PKWY STE 550",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370678002",
"telephone_number": "979-704-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S 4TH ST STE B",
"city": "ENID",
"state": "OK",
"postal_code": "737015805",
"telephone_number": "580-233-4217"
}
],
"practiceLocations": [
{
"address_1": "1423 Main St",
"address_purpose": "LOCATION",
"city": "Woodward",
"state": "OK",
"postal_code": "738013003",
"country_code": "US",
"telephone_number": "580-254-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "712 W 3rd St",
"address_purpose": "LOCATION",
"city": "Watonga",
"state": "OK",
"postal_code": "737722624",
"country_code": "US",
"telephone_number": "580-623-7414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRADITIONS HEALTH CARE OF ENID, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-20",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "KERNDL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO & SECRETARY",
"authorized_official_telephone_number": "979-704-6547"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Traditions Health of Enid",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Traditions Health of Enid",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.