Katelynn Jordan Churches

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

118 W Keetoowah St
Tahlequah, OK 74464-3820

Phone

(918) 201-4333

NPI assigned

Oct 26, 2021

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1699439604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 STERN RD LOT 14",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744646522",
            "telephone_number": "918-871-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643820",
            "telephone_number": "918-201-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHES",
        "first_name": "KATELYNN",
        "middle_name": "JORDAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134704489",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Chojnacki
• Nolan Chojnacki, LPC
• Jaclyn Michelle Chrestman, M.S.
• Amy E Christensen, APRN, CNM, WHNP-BC
• Sheri D Christian-Armstrong, DO
• Cindy Ann Clark
• Jon Douglas Clark
• Michael P Clark
• Rachel Elizabeth Clinton
• CMG Family Clinic LLC

• Peer Specialist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.