Kennedy Brooke Decker-Walters, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0083279 Issued in OK

Practice address

1708 Delivery Lane
Durant, OK 74701-2292

Phone

(580) 924-5622

Fax

(580) 745-5060

NPI assigned

Jun 29, 2009

Last updated

Dec 31, 2025By 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 3

Addresses

Other names 1

• Miss Kennedy Brooke Decker Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Family Healthcare, LLCGroup PAC ID 6709187628, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliancehealth Durant Hospital, Durant, OK, CCN 370014
• Texoma Medical Center Hospital, Denison, TX, CCN 450324

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Family Healthcare LLC

  • Family Medicine Physician
  • Durant, OK
  • NPI 1013380385
  Medicare reassignment Care Compare group NPD
• Home Reach Mobile Wound Care Clinic, PLLC

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1629807375
  NPD
• Durant Hma LLC

  dba AllianceHealth Durant

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Durant Hma LLC

  dba AllianceHealth Durant

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  Care Compare affiliation
• Uhs of Texoma, Inc

  dba Texoma Medical Center

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1700014867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 DELIVERY LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012292",
            "telephone_number": "580-924-5622",
            "fax_number": "580-745-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 DELIVERY LANE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012292",
            "telephone_number": "580-924-5622",
            "fax_number": "580-745-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER-WALTERS",
        "first_name": "KENNEDY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0083279",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "83279",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "734236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNEDY",
            "last_name": "DECKER",
            "middle_name": "BROOKE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kory Davis
• Karla Anne Davison, LCSW
• Doreen La Reece De Angeles
• Brandon Debo
• Charlotte Debo, BHRS
• Marquin Lynn Decker, LPC
• Sarin Dees
• Mandy Degiacomo, COTA
• Dawn C Dellinger, BHRS
• Seana Delozier

• Family Nurse Practitioner in Durant, OK
• Providers in Durant, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.