Individual provider Active NPI

Heather Colligan Kuklinski, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1598857419
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1405 Issued in OK
Practice address
608 NW 9TH St Ste 6000
Oklahoma City, OK 73102-1041
Phone
(405) 360-6764
Fax
(405) 360-6769
NPI assigned
Sep 28, 2006
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1405 OK Primary

Addresses

Primary practice location

608 NW 9TH St Ste 6000
Oklahoma City, OK 73102-1041

Mailing address

3400 W Tecumseh Rd
Ste 101
Norman, OK 73072-1810
Phone (405) 360-6764

Other practice location 1

3400 W Tecumseh Rd
Ste 101
Norman, OK 73072-1810
Phone (405) 360-6764

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
I20050930000075 OK Practitioner - Physician Assistant 8527004118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Neurocare PLLCGroup PAC ID 9638618523, 2 clinicians

Practice addresses (Care Compare)

10020 E 91St St
Tulsa, OK 74133-5835
Phone 3346781417375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1405OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Neurocare PLLC CurrentSince Oct 6, 2025 Accepting new patients
Eagle Community Clinic LLC Past Accepting new patients
Rodney J. Miles, M.D., Inc. Past Accepting new patients

Locations

10240 Broadway Ext
Oklahoma City, OK 73114
Phone (334) 678-1417

1407 N Robinson Ave
Oklahoma City, OK 73103
Phone (405) 232-8000

7909 S 101st East Ave
Tulsa, OK 74133
Phone (918) 744-2338

10020 E 91st St
Tulsa, OK 74133
Phone (918) 515-0297

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1598857419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-360-6764",
            "fax_number": "405-360-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 6000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021041",
            "telephone_number": "405-360-6764",
            "fax_number": "405-360-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "country_code": "US",
            "telephone_number": "405-360-6764",
            "fax_number": "405-360-6769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKLINSKI",
        "first_name": "HEATHER",
        "middle_name": "COLLIGAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.