Organization Active NPI

Kimberly Cobb Aprn PLLC

  • Family Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1699008391
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66821 Issued in OK
Legal business name
KIMBERLY COBB APRN PLLC
Practice address
210 W Robert St
Poteau, OK 74953
Phone
(918) 649-0069
Fax
(918) 649-0067
NPI assigned
Sep 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Mrs. Kimberly Kay Cobb, ARNPNPI 1134351141
Title
Owner/Provider
Phone
(479) 462-8043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 66821 OK Primary

Addresses

Primary practice location

210 W Robert St
Poteau, OK 74953

Mailing address

PO Box 582
Poteau, OK 74953-0582
Phone (479) 462-8043

Other practice location 1

2202 N Broadway St
Poteau, OK 74953-2000
Phone (918) 647-9533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1699008391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530582",
            "telephone_number": "479-462-8043",
            "fax_number": "918-649-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W ROBERT ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-649-0069",
            "fax_number": "918-649-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Poteau",
            "state": "OK",
            "postal_code": "749532000",
            "country_code": "US",
            "telephone_number": "918-647-9533",
            "fax_number": "918-647-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIMBERLY COBB APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-12",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "479-462-8043",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "66821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.