Zachary Craig Kingfisher

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

138 S Main St.
Afton, OK 74331-1822

Phone

(918) 257-4244

Fax

(918) 257-4247

NPI assigned

Sep 22, 2015

Sex

Male

Sole proprietor

No

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, last updated by the provider on Sep 22, 2015.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1831568617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W DELAWARE AVE",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740482601",
            "telephone_number": "918-273-1841",
            "fax_number": "918-273-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S MAIN ST.",
            "city": "AFTON",
            "state": "OK",
            "postal_code": "743311822",
            "telephone_number": "918-257-4244",
            "fax_number": "918-257-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGFISHER",
        "first_name": "ZACHARY",
        "middle_name": "CRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Jameson
• James Rufus Johnson
• Amy Michelle Jones
• Caleb Heath Jones
• Tena Kennon
• Eddie L Knox Jr.
• Leslie Bell, LCSW, P.C.
• Life Management, Inc.
• Keith Lindemeire
• Tim R Lucas

• All providers in Afton, OK
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.