Active NPI
Caroline Smitherman Kyger, MS, LMFT
- Marriage & Family Therapist
- Oklahoma City, OK
National Provider Identifier
1851500474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 892
- Practice address
- 2932 NW 122ND St
Ste. 20
Oklahoma City, OK 73120-1957 - Phone
- (405) 242-5305
- Fax
- (405) 242-5345
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 892 | OK | Primary |
Addresses
Primary practice location
2932 NW 122ND St
Ste. 20
Oklahoma City, OK 73120-1957
Mailing address
2932 NW 122ND St
Ste. 20
Oklahoma City, OK 73120-1957
Phone (405) 242-5305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123456 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1851500474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 NW 122ND ST",
"address_2": "STE. 20",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731201957",
"telephone_number": "405-242-5305",
"fax_number": "405-242-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2932 NW 122ND ST",
"address_2": "STE. 20",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731201957",
"telephone_number": "405-242-5305",
"fax_number": "405-242-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYGER",
"first_name": "CAROLINE",
"middle_name": "SMITHERMAN",
"name_prefix": "Mrs.",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123456",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.