Active NPI
Valerie Suzanne Kautz, APRN
- Family Nurse Practitioner
- Checotah, OK
National Provider Identifier
1740735570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 81153
- Practice address
- 212 W Spaulding St
Checotah, OK 74426-2452 - Phone
- (918) 473-0048
- Fax
- (918) 473-4547
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 81153 | OK | Primary |
Addresses
Primary practice location
212 W Spaulding St
Checotah, OK 74426-2452
Mailing address
1505 E Main St
Stigler, OK 74462-2913
Phone (918) 967-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone (405) 273-5236
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients |
Locations
781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025
2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236
Interoperability endpoints
- https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1194752949
-
- Chiropractor
- Shawnee, OK
- NPI 1427659523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1740735570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 E MAIN ST",
"city": "STIGLER",
"state": "OK",
"postal_code": "744622913",
"telephone_number": "918-967-3368",
"fax_number": "918-967-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W SPAULDING ST",
"city": "CHECOTAH",
"state": "OK",
"postal_code": "744262452",
"telephone_number": "918-473-0048",
"fax_number": "918-473-4547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUTZ",
"first_name": "VALERIE",
"middle_name": "SUZANNE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "81153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Checotah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.