Mia Nicole Kitterman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6216 S Lewis Ave Ste 102
Tulsa, OK 74136-1075

Phone

(918) 960-7852

NPI assigned

May 19, 2022

Last updated

May 19, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1679210793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 E 116TH PL S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082245",
            "telephone_number": "918-991-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361075",
            "telephone_number": "918-960-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTERMAN",
        "first_name": "MIA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOONER CARE",
            "identifier": "B29600228",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Alyssa Kitchens
• Brandon Kitchens, DPM
• Tiffany Nicole Kite
• Allison Kittelson
• Kerry Kerr Kitterman, DDS
• Jordan Kizer
• Kla Consulting LLC
• Michele K Klahr, L.P.C.
• Nathan Klammer, MD
• Haley Klassen

• Case Manager/Care Coordinator in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.