NKR ENTERPRISES, APRN-CNP, PLLC (NPI# 1639602873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639602873 |
Entity Type | Organization |
Organization Name | NKR ENTERPRISES, APRN-CNP, PLLC |
Other Organization Name | MAGNOLIA CLINIC |
Practice Address |
4409 N Kickapoo Ave Suite 121 Shawnee OK 74804-1206 |
Practice Telephone | 4052490459 |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-05 |
Authorized Official Name | KATIE LUANNE FROST (APRN-CNP/OWNER) |
Authorized Official Telephone | 4052490459 |
Authorized Official Credential | APRN-CNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
86085 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Magnolia Clinic | Doing Business As Name - Organization |
Street Address |
4409 N KICKAPOO AVE SUITE 121 |
City | SHAWNEE |
State | OK |
Zip Code | 74804-1206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720128002 | Ocean Dental, PC | Dentist | 4409 N Kickapoo Ave, Shawnee, OK 74804-1206 | 2007-02-07 |
1821403403 | Rupeshwar Ishwar Renkuntla | Dentist | 4409 N Kickapoo Ave, Shawnee, OK 74804-1206 | 2014-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
Find all providers in zip 74804 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275167397 | Kari Dawn Campbell | Nurse Practitioner | 4306 N Pottenger Ave, Shawnee, OK 74804-1267 | 2020-02-27 |
1609400266 | Kelly Elaine Bryden | Nurse Practitioner | 5117 Mccoy St, Shawnee, KS 66226-3807 | 2020-02-23 |
1316578842 | Amanda M Rigney | Nurse Practitioner | 322 S Aydelotte Ave, Shawnee, OK 74801-7611 | 2020-02-03 |
1326686767 | Jessica J. Hinchcliff | Nurse Practitioner | 5615 Maurer Rd, Shawnee, KS 66217-9766 | 2019-12-17 |
1023652815 | Sabrina Macalister | Nurse Practitioner | 30 Redbud Ln, Shawnee, OK 74801-8732 | 2019-11-05 |
1093364622 | Christiana Archibong | Nurse Practitioner | 21508 W 51st Pl, Shawnee, KS 66226-9731 | 2019-09-06 |
1003379728 | Marta Beshe | Nurse Practitioner | 5818 Theden St, Shawnee, KS 66218-9232 | 2019-04-09 |
1902370802 | Kelli Le Cox | Nurse Practitioner | 624 W Independence St Ste 116, Shawnee, OK 74804-4329 | 2019-01-14 |
1497243851 | Kendra Kirkendall | Nurse Practitioner | 421 N Beard Ave, Shawnee, OK 74801-6715 | 2018-05-01 |
1972975092 | Kristina Feezor | Nurse Practitioner | 1904 Gordon Cooper Dr, Shawnee, OK 74801-8603 | 2015-10-28 |
Find all providers in SHAWNEE |
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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.