Individual provider Active NPI

Kimberly A Allen, ARNP

  • Primary Care Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1932340478
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RO64944 Issued in OK
Practice address
608 NW 9TH St Ste 6200
Oklahoma City, OK 73102-1017
Phone
(405) 272-7677
Fax
(405) 231-3783
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RO64944 OK Primary

Addresses

Primary practice location

608 NW 9TH St Ste 6200
Oklahoma City, OK 73102-1017

Mailing address

608 NW 9TH St Ste 6200
Oklahoma City, OK 73102-1017
Phone (405) 272-7677

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
I20120605000727 OK Practitioner - Nurse Practitioner 8729242656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Creek Family Healthcare and Wellness Clinic LLCGroup PAC ID 6709007099, 4 clinicians

Practice addresses (Care Compare)

3801 NW 166TH St
Suite 4
Edmond, OK 73012-9279
Phone (405) 359-1122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26960OKMDFamily Nurse Practitioner
RO64944OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Creek Family Healthcare and Wellness Clinic LLC CurrentSince Sep 1, 2014 Accepting new patients
Carley McLaughlin, Aprn-CNP, PLLC PastSince Aug 14, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3801 NW 166th St
Ste 4
Edmond, OK 73012
Phone (405) 359-1122

19409 N Portland Ave
Edmond, OK 73012
Phone (405) 359-1122

Interoperability endpoints

  • Direct secure messaging: kimberly.allen.1@17619.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1932340478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 6200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021017",
            "telephone_number": "405-272-7677",
            "fax_number": "405-231-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 6200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021017",
            "telephone_number": "405-272-7677",
            "fax_number": "405-231-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "RO64944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.