Kami Sue Puckett, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0134475 Issued in OK

Practice address

859 E Melton Dr
Jay, OK 74346-2704

Phone

(918) 253-1700

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1952888216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 E MELTON DR",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743462704",
            "telephone_number": "918-253-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 E MELTON DR",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743462704",
            "telephone_number": "918-253-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "KAMI",
        "middle_name": "SUE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "65518",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0134475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinli Nicole Osburn
• Jacqueline M Payerli, PLMSW
• Debra Lynette Popp
• Carrie E. Powell
• Precision Enterprises Inc. (Precision Dental and Dentures)
• Jason Samuel Ramirez
• Kaitlyn B Reed
• Richard H Tidwell MD PLLC (Jay Family Medicine Clinic)
• David Lee Riley-Schumacher
• Cristi Robertson

• Registered Nurse in Jay, OK
• Providers in Jay, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.