Trail Creek Wellness PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

66837 Issued in OK

Legal business name

TRAIL CREEK WELLNESS PC

Practice address

1001 Hospital Cir
Kingfisher, OK 73750-5002

Phone

(405) 375-7935

Fax

(405) 375-7937

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Rachel M Cameron, APRN-CNPNPI 1760779557

Title

Nurse Practitioner / Owner

Phone

(405) 368-5460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Cameron, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1760779557
  Medicare reassignment NPD Authorized official
• Ashley Rae Lindsey, APRN-CNP

  • Nurse Practitioner
  • Edmond, OK
  • NPI 1427566389
  Medicare reassignment NPD
• Amy Lynn Mason, APRN

  • Family Nurse Practitioner
  • Mustang, OK
  • NPI 1215661376
  Medicare reassignment NPD
• Amanda Oblander, APRN

  • Family Nurse Practitioner
  • Yukon, OK
  • NPI 1114330099
  Medicare reassignment NPD
• Charles Blake Stanfield, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1225091366
  Medicare reassignment NPD
• Paige Ryann Myers

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1851066542

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1518458272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HOSPITAL CIR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737505002",
            "telephone_number": "405-375-7935",
            "fax_number": "405-375-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HOSPITAL CIR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737505002",
            "telephone_number": "405-375-7935",
            "fax_number": "405-375-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIL CREEK WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "405-368-5460",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "66837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Colleen Sterne, PT
• Billie J Stewart
• Brittany Toho
• Toms Drug Store
• Brandon Michael Trachman, PT
• Triad Pediatrics, LLC
• Anastacia Vega, DPT, PT
• Magen J Verkler, NUTRITIONIST
• Kayla J Voth, M.S.CCC-SLP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0132)

• Family Medicine Physician in Kingfisher, OK
• Providers in Kingfisher, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.