Individual provider Active NPI

Kelli Le Cox, APRN, CNP

  • Family Nurse Practitioner
  • Ada, OK
National Provider Identifier
1902370802
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
90428 Issued in OK
Practice address
709 Better Now PLZ
Ada, OK 74820-2279
Phone
(580) 310-9899
Fax
(580) 310-9818
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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 90428 OK Primary

Addresses

Primary practice location

709 Better Now PLZ
Ada, OK 74820-2279

Mailing address

709 Better Now PLZ
Ada, OK 74820-2279
Phone (580) 310-9899

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
I20220124001394 OK Practitioner - Nurse Practitioner 6709278815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Immediate Care of Oklahoma LLC 34 clinicians
Ico Primary Care, LLC 6 clinicians

Practice addresses (Care Compare)

502 N Broadway
Tecumseh, OK 74873-2018
Phone (405) 600-6869

502 N Broadway St
Tecumseh, OK 74873-2018
Phone (405) 598-7270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90428OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ico Primary Care, LLC CurrentSince Jun 17, 2024 Accepting new patients
Immediate Care of Oklahoma LLC CurrentSince May 17, 2023 Accepting new patients
Immediate Care of Oklahoma CurrentSince May 17, 2023 Accepting new patients

Locations

1664 S Choctaw Rd
Ste 101
Choctaw, OK 73020
Phone (405) 281-2144

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

502 N Broadway St
Tecumseh, OK 74873
Phone (405) 598-0697

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16230/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1902370802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BETTER NOW PLZ",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202279",
            "telephone_number": "580-310-9899",
            "fax_number": "580-310-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BETTER NOW PLZ",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202279",
            "telephone_number": "580-310-9899",
            "fax_number": "580-310-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "KELLI",
        "middle_name": "LE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "90428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.