Kelly Piper, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

92049 Issued in OK

Practice address

2118 E 15TH St
Tulsa, OK 74104-4614

Phone

(918) 293-1287

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Supreme Healthcare PLLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1326631862
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1659843597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044614",
            "telephone_number": "918-293-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044614",
            "telephone_number": "918-293-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "KELLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Nicole Pinkston, MS, LPC
• Marcia Lynn Pinkston, LPC, CANDIDATE
• Debbie L Pinnell, P.T.
• Demetra D Pinos, M.S., CCC-SLP
• Robert T. Pinson, DO
• Kenneth W Piper, M.D.
• Kindra Pipkin
• Lesley K. Pipkins, PA
• Amanda Elaine Pippin, PRSS
• Donnie Paul Pippin

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.