Individual provider Active NPI

Kimberly Marie Brown, APRN-CNP

  • Family Nurse Practitioner
  • Hooker, OK
National Provider Identifier
1548090103
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219626 Issued in OK
Practice address
101 Glaydas St
Hooker, OK 73945
Phone
(580) 652-1100
Fax
(866) 422-1819
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219626 OK Primary

Addresses

Primary practice location

101 Glaydas St
Hooker, OK 73945

Mailing address

RR 2 Box 60
Hooker, OK 73945-9640
Phone (580) 461-9112

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
I20241218000090 OK Practitioner - Nurse Practitioner 9739616533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2215 N Hwy 64
Xpress Wellness Urgent Care
Guymon, OK 73942-2750
Phone (580) 754-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Dec 18, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Dec 18, 2024 Accepting new patients
Hooker Medical Clinic, LLC CurrentSince Oct 30, 2024 Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2215 N Highway 64
Guymon, OK 73942
Phone (580) 754-2280

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1548090103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 60",
            "city": "HOOKER",
            "state": "OK",
            "postal_code": "739459640",
            "telephone_number": "580-461-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GLAYDAS ST",
            "city": "HOOKER",
            "state": "OK",
            "postal_code": "73945",
            "telephone_number": "580-652-1100",
            "fax_number": "866-422-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "219626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hooker, OK

Sources for this page

Verify at the official NPI Registry.