MS. KAREN GAIL NICKELS (NPI# 1033722145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033722145 |
| Entity Type | Individual |
| Full Name | MS. KAREN GAIL NICKELS |
| Credential | LPN, LMT |
| Practice Address |
29408 S 548 Rd Cookson OK 74427-2423 |
| Practice Telephone | 9186302342 |
| Mailing Telephone | 9186302342 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 70432 | OK | Nursing Service Providers |
| Y | 225700000X | Massage Therapist | 102510 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
29408 S 548 RD |
| City | COOKSON |
| State | OK |
| Zip Code | 74427-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801086715 | Green Medical Clinic | Family Medicine | 23507 East Riverview Drive, Cookson, OK 74427 | 2007-07-26 |
| 1801846779 | Ronald David Brown | Internal Medicine | 20002 E Wilderness Trce, Cookson, OK 74427-2090 | 2006-05-11 |
| 1962596544 | Wendi Esposito-worthington | Nurse Anesthetist, Certified Registered | 30226 S Hickory Ln, Cookson, OK 74427-2255 | 2006-10-03 |
| 1528052875 | Schuyler Tackett Steelberg | Family Medicine | 19924 E Wilderness Rd, Cookson, OK 74427-2461 | 2005-09-01 |
| 1194857136 | Lawrence Green | Family Medicine | 23507 East Riverview Drive, Cookson, OK 74427-2471 | 2007-03-12 |
| 1821524893 | Rance Head | Case Manager/Care Coordinator | 31179 S Molly Brown Mountain Rd, Cookson, OK 74427-2523 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821524893 | Rance Head | Case Manager/Care Coordinator | 31179 S Molly Brown Mountain Rd, Cookson, OK 74427-2523 | 2017-05-11 |
| 1194857136 | Lawrence Green | Family Medicine | 23507 East Riverview Drive, Cookson, OK 74427-2471 | 2007-03-12 |
| 1962596544 | Wendi Esposito-worthington | Nurse Anesthetist, Certified Registered | 30226 S Hickory Ln, Cookson, OK 74427-2255 | 2006-10-03 |
| 1801846779 | Ronald David Brown | Internal Medicine | 20002 E Wilderness Trce, Cookson, OK 74427-2090 | 2006-05-11 |
| 1528052875 | Schuyler Tackett Steelberg | Family Medicine | 19924 E Wilderness Rd, Cookson, OK 74427-2461 | 2005-09-01 |
| 1801086715 | Green Medical Clinic | Family Medicine | 23507 East Riverview Drive, Cookson, OK 74427 | 2007-07-26 |
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344842 | Tamika Chanel Vizecky-flenory | Massage Therapist | 11712 N Shartel Ave, Oklahoma City, OK 73114-7907 | 2020-10-25 |
| 1598363285 | Michelle Grant | Massage Therapist | 1229 W Huntington Way, Mustang, OK 73064-2323 | 2020-10-14 |
| 1508463316 | Amanda Lynne Woods | Massage Therapist | 3916 Nw 36th St, Oklahoma City, OK 73112-1600 | 2020-10-05 |
| 1831796838 | Angela L Morgan | Massage Therapist | 1713 N Rockwell Ave, Bethany, OK 73008-6158 | 2020-10-03 |
| 1801408232 | Jimmy Lee Winkle | Massage Therapist | 4564 S Harvard Ave Ste B, Tulsa, OK 74135-2918 | 2020-08-18 |
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1316563323 | Rachel Ray-anne Strand | Massage Therapist | 1707 N Broadway Ave Ste 101, Oklahoma City, OK 73103-3465 | 2020-06-25 |
| 1598381881 | Marie Wilson | Massage Therapist | 116 W 7th Ave Ste 223, Stillwater, OK 74074-4050 | 2020-06-22 |
| 1437772522 | Lashell Inette Halstied | Massage Therapist | 8825 Ne 45th St, Spencer, OK 73084-2576 | 2020-05-22 |
| 1295355592 | Melanie Blevins | Massage Therapist | 304 2nd St, Wellston, OK 74881 | 2020-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.