Kimberely Dawn Kmita, CNM, ARNP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R0066134 Issued in OK

Practice address

1120 S Utica Ave
Ste. G100
Tulsa, OK 74104-4012

Phone

(918) 392-0175

Fax

(918) 392-0176

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Kimberely D Murry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

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.

• Obstetrical & Gynecological Assoc of Tulsa

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
  • NPI 1285646018
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1679598809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335730",
            "telephone_number": "918-858-0008",
            "fax_number": "918-858-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "STE. G100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-392-0175",
            "fax_number": "918-392-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMITA",
        "first_name": "KIMBERELY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "CNM, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OK",
            "license": "R0066134",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "66134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064280A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1679598809",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERELY",
            "last_name": "MURRY",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "CNM, ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin J Klos, MD
• Christina Kluczny, APRN-CNM
• Jacqueline L Kluemper, LCSW
• Connor Kluth
• Kristi Kmetz, DPT
• Lesa Ann Knak, B.A.
• Ashley Knapp, LCSW
• Dejon Leann Knapp, MSW-US
• Jennifer R Knapp
• Karen Gail Knapp, BA, CM

• Advanced Practice Midwife in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Advanced Practice Midwife in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.