Individual provider Active NPI

Kari K Wahnee, PA-C

  • Physician Assistant
  • Lindsay, OK
National Provider Identifier
1497869747
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1305 W Cherokee
Lindsay, OK 73052
Phone
(405) 756-1404
Fax
(918) 968-4207
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 777 OK
Physician Assistant 363A00000X OK Primary

Addresses

Primary practice location

1305 W Cherokee
Lindsay, OK 73052

Mailing address

Route 2 Box 246
Blackhawk Health Center
Stroud, OK 74079
Phone (918) 968-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000123 OK Practitioner - Physician Assistant 5193816049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
777OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nemri Medical Services, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1497869747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 2 BOX 246",
            "address_2": "BLACKHAWK HEALTH CENTER",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "74079",
            "telephone_number": "918-968-9531",
            "fax_number": "918-968-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W CHEROKEE",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "73052",
            "telephone_number": "405-756-1404",
            "fax_number": "918-968-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHNEE",
        "first_name": "KARI",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "777",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, OK

Sources for this page

Verify at the official NPI Registry.