Active NPI
Judith Diane Kyle, RN
- Diabetes Educator Registered Nurse
- Ardmore, OK
National Provider Identifier
1801522800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R0053771
- Practice address
- 1006 Northwest Blvd
Ardmore, OK 73401-1533 - Phone
- (580) 220-6764
- Fax
- (580) 220-6383
- NPI assigned
- Aug 1, 2022
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R0053771 | OK | Primary |
Addresses
Primary practice location
1006 Northwest Blvd
Ardmore, OK 73401-1533
Mailing address
1006 Northwest Blvd
Ardmore, OK 73401-1533
Phone (580) 220-6764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0053771 | OK | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1801522800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 NORTHWEST BLVD",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011533",
"telephone_number": "580-220-6764",
"fax_number": "580-220-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 NORTHWEST BLVD",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011533",
"telephone_number": "580-220-6764",
"fax_number": "580-220-6383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLE",
"first_name": "JUDITH",
"middle_name": "DIANE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "OK",
"license": "R0053771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.