Active NPI
Kristina Feezor, APRN
- Family Nurse Practitioner
- Shawnee, OK
National Provider Identifier
1972975092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 93055
- Practice address
- 1904 Gordon Cooper Dr
Shawnee, OK 74801-8603 - Phone
- (405) 273-2157
- NPI assigned
- Oct 28, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 93055 | OK | Primary |
Addresses
Primary practice location
1904 Gordon Cooper Dr
Shawnee, OK 74801-8603
Mailing address
1904 Gordon Cooper Dr
Shawnee, OK 74801-8603
Phone (405) 273-2157
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93055 | OK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1972975092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 GORDON COOPER DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748018603",
"telephone_number": "405-273-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 GORDON COOPER DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748018603",
"telephone_number": "405-273-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEEZOR",
"first_name": "KRISTINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "93055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.