Active NPI
Kaitlyn Rayne Morrison
- Community Health Worker
- Wagoner, OK
National Provider Identifier
1609642818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 212 N Pierce Ave
Wagoner, OK 74467-4128 - Phone
- (918) 485-3022
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OK | Primary |
Addresses
Primary practice location
212 N Pierce Ave
Wagoner, OK 74467-4128
Mailing address
1603 N Aberdeen St
Muskogee, OK 74403-7306
Phone (918) 882-9584
Other practice location 1
111 NE 1st St
Pryor, OK 74361-2403
Phone (918) 825-4224
Other practice location 2
1930 N Elm St
Miami, OK 74354-5400
Phone (918) 540-2481
Other practice location 3
115 E Delaware Ave
Vinita, OK 74301-4204
Phone (918) 256-7531
Other practice location 4
438 S 9th St
Jay, OK 74346-0370
Phone (877) 253-4511
Other practice location 5
5121 Jacquelyn Ln
Bartlesville, OK 74006-7723
Phone (918) 335-3005
Other practice location 6
2664 N Highway 88
Claremore, OK 74017-0409
Phone (918) 341-3166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1609642818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 N ABERDEEN ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744037306",
"telephone_number": "918-882-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 N PIERCE AVE",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674128",
"telephone_number": "918-485-3022"
}
],
"practiceLocations": [
{
"address_1": "111 NE 1st St",
"address_purpose": "LOCATION",
"city": "Pryor",
"state": "OK",
"postal_code": "743612403",
"country_code": "US",
"telephone_number": "918-825-4224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1930 N Elm St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "OK",
"postal_code": "743545400",
"country_code": "US",
"telephone_number": "918-540-2481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 E Delaware Ave",
"address_purpose": "LOCATION",
"city": "Vinita",
"state": "OK",
"postal_code": "743014204",
"country_code": "US",
"telephone_number": "918-256-7531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "438 S 9th St",
"address_purpose": "LOCATION",
"city": "Jay",
"state": "OK",
"postal_code": "743460370",
"country_code": "US",
"telephone_number": "877-253-4511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5121 Jacquelyn Ln",
"address_purpose": "LOCATION",
"city": "Bartlesville",
"state": "OK",
"postal_code": "740067723",
"country_code": "US",
"telephone_number": "918-335-3005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2664 N Highway 88",
"address_purpose": "LOCATION",
"city": "Claremore",
"state": "OK",
"postal_code": "740170409",
"country_code": "US",
"telephone_number": "918-341-3166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON",
"first_name": "KAITLYN",
"middle_name": "RAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.