Organization Active NPI

Karissa Misner PLLC

  • Physical Medicine & Rehabilitation Physician
  • Muskogee, OK
National Provider Identifier
1740548551
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4643 Issued in OK
Legal business name
KARISSA MISNER PLLC
Practice address
300 Rockefeller Dr
Rehabilitation Unit
Muskogee, OK 74401-5075
Phone
(918) 684-2522
Fax
(918) 684-2493
NPI assigned
Apr 30, 2012
Last updated
Dec 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Karissa M MisnerNPI 1063566818
Title
Owner
Phone
(918) 894-9162

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
Physical Medicine & Rehabilitation Physician 208100000X 4643 OK Primary

Addresses

Primary practice location

300 Rockefeller Dr
Rehabilitation Unit
Muskogee, OK 74401-5075

Mailing address

1216 E Kenosha St
PMB 326
Broken Arrow, OK 74012-2007
Phone (918) 615-6581

Other identifiers 1

IdentifierTypeStateIssuer
200474240AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1216 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 630-3001

Practitioners & affiliated clinicians

Practitioners 1

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1740548551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E KENOSHA ST",
            "address_2": "PMB 326",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122007",
            "telephone_number": "918-615-6581",
            "fax_number": "918-893-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKEFELLER DR",
            "address_2": "REHABILITATION UNIT",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015075",
            "telephone_number": "918-684-2522",
            "fax_number": "918-684-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARISSA MISNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "MISNER",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-894-9162"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "4643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200474240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.