KEYS FAMILY HEALTH CLINIC (NPI# 1144461518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144461518 |
| Entity Type | Organization |
| Organization Name | KEYS FAMILY HEALTH CLINIC |
| Practice Address |
26251 Hwy 82 Suite 1 Park Hill OK 74451 |
| Mailing Address |
26251 Hwy 82 Suite 1 Park Hill OK 74441 |
| Practice Telephone | 9182070667 |
| Practice Fax Number | 9182070683 |
| Mailing Telephone | 9182070667 |
| Mailing Fax Number | 9182070683 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2010-10-19 |
| Authorized Official Name | MR. BRIAN EUGENE COOKSON (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 9189311115 |
| Authorized Official Credential | A.R.N.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0068390 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200117240A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | KEYS FAMILY HEALTH CLINIC, P.L.L.C. | 26251 Highway 82 Ste 1, Park Hill, OK 74451 |
| Street Address |
26251 HWY 82 SUITE 1 |
| City | PARK HILL |
| State | OK |
| Zip Code | 74451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356532022 | Brian Eugene Cookson | Family Medicine | 26251 Hwy 82 Suite 1, Park Hill, OK 74441 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538707583 | Kylee Shae Batt | Case Manager/Care Coordinator | 35783 S Oakridge Dr, Park Hill, OK 74451 | 2019-12-19 |
| 1881946317 | James S. Colbert Jr. | Counselor | 19076 E. 801 Rd. #5, Park Hill, OK 74451 | 2012-10-08 |
| 1821293887 | Dorthy Jean Maxey | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27907 S Big Hollow Rd, Park Hill, OK 74451 | 2007-06-19 |
| 1417243312 | Amber Ann Forrest | Counselor | 26970 S Indian Rd, Park Hill, OK 74451-2006 | 2011-06-20 |
| 1346501202 | Kelly Lynn Davis | Contractor | 18247 W Running Springs Rd, Park Hill, OK 74451-2017 | 2012-06-06 |
| 1922387455 | Cheryl D Beaman | Counselor | 33493 S Burnt Cabin Rd, Park Hill, OK 74451-2077 | 2011-08-15 |
| 1912112590 | Minnie Louise Farris | Specialist | 32611 S Pigeon Rd, Park Hill, OK 74451-2205 | 2007-05-14 |
| 1619966827 | Thomas E Trow | Family Medicine | 18452 W Lakewood Dr, Park Hill, OK 74451-2217 | 2005-10-19 |
| 1407187438 | T. E. Trow, M.d., P.l.l.c. | Family Medicine | 18452 W Lakewood Dr, Park Hill, OK 74451-2217 | 2010-01-14 |
| 1528103363 | Marion Dean Bloss | Pharmacist | 26245 Highway 82, Park Hill, OK 74451-2802 | 2007-02-20 |
| Find all providers in zip 74451 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891189726 | Carla Renee Hayes | Nurse Practitioner | 24891 Highway 82, Park Hill, OK 74451-4089 | 2015-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
| 1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
| 1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
| 1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
| 1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.