MRS. KRISTEN WALTERS HODGES (NPI# 1609046416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609046416 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN WALTERS HODGES |
| Credential | P.A.-C |
| Practice Address |
3400 W Tecumseh Rd Ste 101 Norman OK 73072 |
| Mailing Address |
1800 Renaissance Blvd Suite 210 Edmond OK 73013-3023 |
| Practice Telephone | 4053606764 |
| Practice Fax Number | 4053606769 |
| Mailing Telephone | 4055097370 |
| Mailing Fax Number | 4055097373 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA1682 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1682 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Renaissance Blvd, Suite 210, Edmond, OK 730133023 | 4055097370 | 4055097373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588897177 | Kristen Eileen Hodges | Speech-Language Pathologist | 882 Avenida Pastoral Nw, Los Lunas, NM 87031-8304 | 2009-08-28 |
| 1063950400 | Kristen Hodges | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2017-02-06 |
| Street Address |
3400 W TECUMSEH RD STE 101 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952368961 | Sally Marie Roark | Physician Assistant | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2006-04-26 |
| 1861030280 | Ortho Central | Durable Medical Equipment & Medical Supplies | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2019-12-16 |
| 1538707930 | Ortho Central | Physical Therapist | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2019-12-16 |
| 1952893521 | Hillarie Elaine Kessler | Physician Assistant | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2018-05-30 |
| 1558880526 | Kasey Degiusti | Nurse Practitioner | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2017-09-11 |
| 1326431651 | Adam Garrett Burns | Specialist/Technologist | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2015-03-11 |
| 1629331921 | Jacob Asher Haynes | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2012-06-21 |
| 1871854554 | Clayton Ellis Nelson | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072 | 2012-05-30 |
| 1043400641 | John L Glomset IIi | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2007-07-30 |
| 1790986826 | Chad Steven Edminsten | Specialist/Technologist | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689097339 | Michael Joe Crawford | Physician Assistant | 4217 28th Ave Nw Ste 111, Norman, OK 73069-8358 | 2014-01-31 |
| 1861639395 | Amanda Nicole Lewis | Physician Assistant | 500 E Robinson St, Suite 2300, Norman, OK 73071-6697 | 2009-01-21 |
| 1518183417 | Rilla K Walker | Physician Assistant | 620 24th Ave Sw, Ou Norman Neurosurgery, Norman, OK 73069-3913 | 2007-04-18 |
| 1831127059 | Christopher T Travis | Physician Assistant | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 | 2006-06-28 |
| 1558339184 | Lara E Green | Physician Assistant | 3400 W Tecumseh Rd, Suite 105, Norman, OK 73072-1810 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779206 | John Nelson Lazenby IIi | Physician Assistant | 4 E Clark Bass Blvd Ste 302, Mcalester, OK 74501-4269 | 2020-01-20 |
| 1578025094 | Shawna Rose Liszewski | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-04-03 |
| 1417418666 | Andrea J Caygill | Physician Assistant | 216 N 20th St, Collinsville, OK 74021-1605 | 2019-03-29 |
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1265920565 | Elite Surgical Assisting, LLC | Physician Assistant | 2924 S 98th East Ave, Tulsa, OK 74129-4407 | 2018-04-23 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1790103455 | A Cut Above Surgical Assisting LLC | Physician Assistant | 6313 E Commercial St, Broken Arrow, OK 74014-6981 | 2014-03-31 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1265797781 | Rebecca Lynn Painter | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2012-07-10 |
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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.