Individual provider Active NPI

Kadi Allen Nail, NP

  • Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1649769290
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP11263 Issued in AZ
Practice address
4400 Grant Blvd
Yukon, OK 73099-0037
Phone
(405) 470-7414
Fax
(405) 470-5579
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP11263 AZ Primary

Addresses

Primary practice location

4400 Grant Blvd
Yukon, OK 73099-0037

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 419-8465

Other identifiers 1

IdentifierTypeStateIssuer
0OtherOK.

Other names 1

  • Kadi Allen Tripp Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL .

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
I20190211000437 OK Practitioner - Nurse Practitioner 1658636600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

2301 W I 35 Frontage Rd
Edmond, OK 73013-8515
Phone (405) 757-3365

4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11263AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Dec 13, 2021 Accepting new patients
The Physicians Group LLC Nurse Practitioner CurrentSince Jan 17, 2019 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince May 9, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

7530 NW 23rd St
Bethany, OK 73008
Phone (405) 730-6990

2301 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 531-4600

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4400 Grant Blvd
Yukon, OK 73099
Phone (405) 467-4440

Interoperability endpoints

  • Direct secure messaging: knail423579@directc.mercy.net

Organizations & group practices 5

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

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1649769290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-419-8465",
            "fax_number": "405-419-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 GRANT BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990037",
            "telephone_number": "405-470-7414",
            "fax_number": "405-470-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIL",
        "first_name": "KADI",
        "middle_name": "ALLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP11263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "4400 Grant Blvd",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730990037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KADI",
            "last_name": "TRIPP",
            "middle_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.