Kynadi Jae Rollins, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1528801883 Issued in OK

Practice address

1400 Bryan Dr Ste 201
Durant, OK 74701-2157

Phone

(580) 924-5500

NPI assigned

Jun 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1528801883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 201",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012157",
            "telephone_number": "580-924-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 201",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012157",
            "telephone_number": "580-924-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "KYNADI",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1528801883",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Roesler, CRNA
• Niki Rogers
• Shannon Rogers, PMHNP, APRN-CNP
• Sophia Rogers
• Misty Dawn Roland
• Katherine Rosato
• Macy Roseboom
• Crystal M Ross-Patton, APRN-BC
• Stephanie G Ross, CASE MANAGER I
• Johnette L Routh, A.R.N.P.

• Family Medicine Physician in Durant, OK
• Providers in Durant, 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 Mar 24, 2026; 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.