Kelly Lynn Birdshead

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3080 W 3Rd St
Elk City, OK 73644-4323

Phone

(405) 424-7711

NPI assigned

Mar 13, 2012

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

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1770858490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 KIMBERLY DR",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444808",
            "telephone_number": "580-243-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444323",
            "telephone_number": "405-424-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSHEAD",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Mark Bennight, PHARMD
• Jayne Ann Bentley
• Rebecca Benton
• Aspen Best
• Daniel Gene Bintz, O.D.
• Nichole Marie Blackburn, FNP-C
• Blick Medical LLC
• Brian E Blick, MD
• Rachel Michelle Bliss, BS. CADC UNDER SUP.
• Amanda Bogle, PTA

• Case Manager/Care Coordinator in Elk City, OK
• Providers in Elk City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.