KIMBERLY M HEDRICK (NPI# 1609379056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609379056 |
| Entity Type | Individual |
| Full Name | KIMBERLY M HEDRICK |
| Credential | APRN |
| Practice Address |
300 Rockefeller Dr Muskogee OK 74401 |
| Mailing Address |
6600 S Yale Ave Ste 1200 Tulsa OK 74136-3361 |
| Practice Telephone | 9185021900 |
| Practice Fax Number | 9184946303 |
| Mailing Telephone | 9184886045 |
| Mailing Fax Number | 9184886098 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
94303 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 S 38th St, Muskogee, OK 744014937 | 9189670072 |
| Street Address |
300 ROCKEFELLER DR |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566279 | Brian Neal Stephens | Nurse Anesthetist, Certified Registered | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2005-05-27 |
| 1770115446 | Tina Gale-bickett | Nurse Practitioner | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2020-02-10 |
| 1568943355 | Steve Zagorodny | Occupational Therapist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2018-08-28 |
| 1699272559 | Erik Jon Ostrowski | Clinical Exercise Physiologist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2018-04-08 |
| 1912424532 | Jeanne M. Rappsilber | Physical Medicine & Rehabilitation | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-08-24 |
| 1225558729 | Cordine Corretta Krystal Glasgow | Hospitalist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-06-26 |
| 1609396092 | Aparna Vuppala | Internal Medicine | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-06-26 |
| 1790220952 | Saint Francis Hospital Muskogee Inc | Psychiatric Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| 1306381561 | Saint Francis Hospital Muskogee Inc | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| 1386188837 | Saint Francis Hospital Muskogee Inc | General Acute Care Hospital | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767308 | Christopher Bryan Essex | Nurse Practitioner | 4101 High Oaks St, Muskogee, OK 74401-1306 | 2020-07-16 |
| 1891353967 | Anita Bryant | Nurse Practitioner | 7158 S 3rd Pl W, Muskogee, OK 74401-7042 | 2019-06-03 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1578003927 | Lisa Brooke Renfrow | Nurse Practitioner | 2809 Circle Dr, Muskogee, OK 74403-6020 | 2017-03-06 |
| 1982622965 | Vickie Gaylin Holland | Nurse Practitioner | 1011 Honor Heights Dr., Muskogee, OK 74401-1318 | 2006-07-17 |
| 1104816602 | Michael S. Smith | Nurse Practitioner | 1118 W Broadway St, Muskogee, OK 74401-6246 | 2005-10-26 |
| 1386291037 | Marlo Annette Barnes-davis | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-08-19 |
| 1962054478 | Darren Eugene Richison | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-07-15 |
| 1699230961 | Monica Hare | Nurse Practitioner | 209 S 36th St, Muskogee, OK 74401-5043 | 2019-01-31 |
| 1114490968 | Robert Lee Jones Jr. | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-01-04 |
| Find all providers in MUSKOGEE | ||||
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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.