Active NPI
Kimberly Cripps, RN
- Administrator Registered Nurse
- Tishomingo, OK
National Provider Identifier
1851703128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 37D343460704
- Practice address
- 714 E Main St
Tishomingo, OK 73460-2350 - Phone
- (580) 371-2002
- Fax
- (580) 371-2058
- NPI assigned
- May 21, 2014
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 37D343460704 | OK | Primary |
Addresses
Primary practice location
714 E Main St
Tishomingo, OK 73460-2350
Mailing address
714 E Main St
Tishomingo, OK 73460-2350
Phone (580) 371-2002
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7542 | Other | OK | SO HH |
| 7767 | Other | OK | WE HH |
| 011510 | Other | TX | TX HH |
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 |
|---|---|---|---|
| 37D343460704 | OK | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1851703128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 E MAIN ST",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734602350",
"telephone_number": "580-371-2002",
"fax_number": "580-371-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 E MAIN ST",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734602350",
"telephone_number": "580-371-2002",
"fax_number": "580-371-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIPPS",
"first_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "OK",
"license": "37D343460704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SO HH",
"identifier": "7542",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WE HH",
"identifier": "7767",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX HH",
"identifier": "011510",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tishomingo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.