KETTI LYNN EDDY (NPI# 1194723239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194723239 |
| Entity Type | Individual |
| Full Name | KETTI LYNN EDDY |
| Credential | ARNP |
| Practice Address |
2919 S Division St Guthrie OK 73044-6806 |
| Mailing Address |
4401 W Memorial Rd 140 Oklahoma City OK 73134-1785 |
| Practice Telephone | 4052826301 |
| Practice Fax Number | 4052826364 |
| Mailing Telephone | 4057523162 |
| Mailing Fax Number | 4059365211 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0074528 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200057880A | 05 |
| Street Address |
2919 S DIVISION ST |
| City | GUTHRIE |
| State | OK |
| Zip Code | 73044-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265926059 | Nicole Rubin | Family Medicine | 2919 S Division St, Guthrie, OK 73044-6806 | 2018-06-15 |
| 1205216157 | Kathryn Kramer | Family Medicine | 2919 S Division St, Guthrie, OK 73044-6806 | 2015-06-05 |
| 1972992220 | Alysha A Weatherholtz | Physician Assistant | 2919 S Division St, Guthrie, OK 73044-6806 | 2015-01-09 |
| 1134544398 | Lauren Danielle Seay | Physician Assistant | 2919 S Division St, Guthrie, OK 73044-6806 | 2014-02-25 |
| 1184905507 | Mercy Hospital Logan County, Inc | Clinic/Center | 2919 S Division St, Guthrie, OK 73044-6806 | 2011-08-30 |
| 1447545546 | Meagan Whisenant | Nurse Practitioner | 2919 S Division St, Guthrie, OK 73044-6806 | 2011-06-16 |
| 1104988138 | Carrie H. Mcguire | Physician Assistant | 2919 S Division St, Guthrie, OK 73044-6806 | 2006-12-15 |
| 1275567513 | Jignesh Jayesh Veragiwala | Family Medicine | 2919 S Division St, Guthrie, OK 73044-6806 | 2006-07-11 |
| 1376541136 | Logan Hospital and Medical Center Authority | Clinic/Center | 2919 S Division St, Guthrie, OK 73044-6806 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356869952 | Martha Jean Crowe | Technician, Other | 1916 E. Perkins, Guthrie, OK 73044 | 2017-09-03 |
| 1518487412 | Robin Lynn Wheeler | Peer Specialist | 2000 Woodlawn Dr. Apt B7, Guthrie, OK 73044 | 2017-06-21 |
| 1083147284 | Kourtney Stafford | Case Manager/Care Coordinator | 390 S Henney Rd, Guthrie, OK 73044 | 2017-04-05 |
| 1396297826 | Mary Ann Oliver | Case Management | 2403 S Division, Suite C&d, Guthrie, OKLAHOMA 73044 | 2016-11-01 |
| 1881143204 | Kathryn Elizabeth Price | Dietitian, Registered | 5750 Cedar Tree Cir, Guthrie, OK 73044 | 2016-09-27 |
| 1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
| 1023447166 | Leland Finn | Case Manager/Care Coordinator | 108 Harvest Road, Guthrie, OK 73044 | 2013-11-08 |
| 1891044632 | Sycheekia D King | Case Management | 913 E.springer, Guthrie, OK 73044 | 2012-09-07 |
| 1235486929 | Leondra Janell Doakes | Counselor | 1321 E. Oklahoma Ave., Guthrie, OK 73044 | 2012-08-13 |
| 1568756120 | Linda Jo Roper | Behavioral Analyst | 104 Eastwood Drive, Guthrie, OK 73044 | 2011-06-01 |
| Find all providers in zip 73044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544871 | Candace Herrin | Nurse Practitioner | 1201 S Division St, Guthrie, OK 73044-5021 | 2020-06-29 |
| 1972135929 | Corbin Elizabeth Cordis | Nurse Practitioner | 1218 Magnolia Ct, Guthrie, OK 73044-2027 | 2020-02-07 |
| 1164819504 | Marilyn Austin | Nurse Practitioner | 624 E Noble Ave, Guthrie, OK 73044-3411 | 2015-04-23 |
| 1790735371 | Margaret A. Lorimor | Nurse Practitioner | 3077 E College Ave, Guthrie, OK 73044 | 2006-05-12 |
| 1043872856 | Amber Dawn Zamora | Nurse Practitioner | 1314 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-07-01 |
| 1659821551 | Latanya Dooley | Nurse Practitioner | 10220 Dixie Beeline Hwy, Guthrie, KY 42234-9310 | 2016-10-04 |
| 1548654460 | Michael James Turner | Nurse Practitioner | 200 S Academy Rd, Guthrie, OK 73044-8727 | 2015-03-28 |
| 1447545546 | Meagan Whisenant | Nurse Practitioner | 2919 S Division St, Guthrie, OK 73044-6806 | 2011-06-16 |
| 1316109952 | Community Health Care | Nurse Practitioner | 3077 E College Ave, Guthrie, OK 73044-8065 | 2008-06-25 |
| 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.