Kayla Barry, PA
Individual provider Active NPI Physician Assistant · Moore, OK
NPI 1679141303 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1679141303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4651 (OK)
- Practice address
- 750 SW 19TH St Ste a
Moore, OK 73160-2974 - Phone
- (405) 666-9860
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integris Health Allset Urgent Care LLC
Practice addresses (Care Compare)
3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155
750 SW 19TH St
Suite a
Moore, OK 73160-2974
Phone (405) 666-9860
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210901003578 | OK | Practitioner - Physician Assistant | 9739585506 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients |
Interoperability endpoints
- kbarry237981@direct.integrisok.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4651 | OK | Yes |
Addresses
Primary practice location
750 SW 19TH St Ste a
Moore, OK 73160-2974
Mailing address
3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 666-9860
Other names
- Kayla Terrel
Other providers in Moore, OK
- Savanna Barnes
- Jessie Barnett
- Jason Barrett
- Valeria Barrett
- Rory Barron
- Staci Barton
- Emily Bates
- Kaitlyn R Bauer
- Gordon James Bean
- Reba Beard
All providers in Moore, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.