Individual provider Active NPI

Kelley Woods, APRN

  • Family Nurse Practitioner
  • Drumright, OK
National Provider Identifier
1841705050
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
99829 Issued in OK
Practice address
610 W Truck Bypass
Drumright, OK 74030
Phone
(918) 509-0454
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 99829 OK Primary

Addresses

Primary practice location

610 W Truck Bypass
Drumright, OK 74030

Mailing address

3037 S Cincinnati Ave
Tulsa, OK 74114-5224
Phone (918) 857-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220001738 OK Practitioner - Nurse Practitioner 3072874767 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
99829OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Drumright Community Hospital LLC Current Accepting new patients
Drumright Community Hospital LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

610 W Bypass
Drumright, OK 74030
Phone (918) 382-2300

612 W Bypass
Drumright, OK 74030
Phone (918) 382-5955

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1841705050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 S CINCINNATI AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741145224",
            "telephone_number": "918-857-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W TRUCK BYPASS",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "74030",
            "telephone_number": "918-509-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KELLEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "99829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drumright, OK

Sources for this page

Verify at the official NPI Registry.