Stathealth Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

85946 Issued in OK

Legal business name

STATHEALTH CLINIC

Practice address

1254 S Lynn LN
Idabel, OK 74745-6813

Phone

(580) 286-1095

NPI assigned

Oct 4, 2016

Last updated

Oct 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kerri Lea Seymour, NP

Title

Nurse Practitioner/Owner

Phone

(580) 286-1095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1841740735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456813",
            "telephone_number": "580-286-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456813",
            "telephone_number": "580-286-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATHEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "580-286-1095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "85946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Oklahoma Family Services, Inc.
• Southeastern Oklahoma Outpatient Rehab
• Southern Oklahoma Treatment Serices, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Charity Stafford, SLP
• Stathealth Clinic PLLC (Stathealth Clinic)
• Shannon Stevenson, RN
• Bethany Stewart
• Mary Rose Stuart, PHYSICAL THERAPIST
• Misty Dawn Stuart

• Primary Care Clinic/Center in Idabel, OK
• Providers in Idabel, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.